MEDICARE: ZHIBIN JI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	48470	CA

General Provider Information

NPI Number	:	1245390079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHIBIN JI DDS

Provider Business Mailing Address
First Line	:	1350 CHURN CREEK RD # F1
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96003-4087
Country	:	US
Telephone Number	:	530-224-1524
Fax Number	:	530-224-9637

Provider Business Practice Location Address
First Line	:	4340 SHASTA DAM BLVD
Second Line	:
City	:	SHASTA LAKE
State	:	CA
Zip	:	96019-9420
Country	:	US
Telephone Number	:	530-275-2910
Fax Number	:	530-275-9335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	04/02/2020

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Directions to “ ZHIBIN JI DDS” Practice Location

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