Healthcare Provider Details

I. General information

NPI: 1083904411
Provider Name (Legal Business Name): STEPHANIE YAOLIU ZHU D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2011
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 S INDEPENDENCE PKWY STE 100
MCKINNEY TX
75072-3470
US

IV. Provider business mailing address

1800 S INDEPENDENCE PKWY STE 100
MCKINNEY TX
75072-3470
US

V. Phone/Fax

Practice location:
  • Phone: 214-592-9090
  • Fax: 214-592-9095
Mailing address:
  • Phone: 214-592-9090
  • Fax: 214-592-9095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number26251
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: