Healthcare Provider Details

I. General information

NPI: 1306940093
Provider Name (Legal Business Name): YUNG-SHEN HUANG DDS MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 S DENTAL SCIENCE BLDG
IOWA CITY IA
52242-1001
US

IV. Provider business mailing address

257 S DENTAL SCIENCE BLDG
IOWA CITY IA
52242-1001
US

V. Phone/Fax

Practice location:
  • Phone: 319-335-7440
  • Fax: 319-335-7451
Mailing address:
  • Phone: 319-335-7431
  • Fax: 319-335-7155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number40077
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number49545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: