Healthcare Provider Details

I. General information

NPI: 1760785547
Provider Name (Legal Business Name): SHAO-CHI CHIOU DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2010
Last Update Date: 11/03/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E 44TH ST APT 4B
NEW YORK NY
10017-3613
US

IV. Provider business mailing address

5 E 44TH ST APT 4B
NEW YORK NY
10017-3613
US

V. Phone/Fax

Practice location:
  • Phone: 301-622-4796
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number50054334
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number50054334
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: