Healthcare Provider Details

I. General information

NPI: 1992669600
Provider Name (Legal Business Name): SHING DENTAL GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1228 GOODMAN RD E STE 2
SOUTHAVEN MS
38671-9540
US

IV. Provider business mailing address

1110 OAKHAVEN CV
TUNICA MS
38676-6157
US

V. Phone/Fax

Practice location:
  • Phone: 662-536-2900
  • Fax: 662-536-2990
Mailing address:
  • Phone: 662-902-3540
  • Fax: 662-536-2990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DEVYN LOU SHING
Title or Position: OWNER
Credential: DMD
Phone: 662-536-2900