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General NPI Number Information
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NPI Number | 1992669600
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Entity Type | Organization
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Legal Business Name | SHING DENTAL GROUP, PLLC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1228 GOODMAN RD E STE 2
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City | SOUTHAVEN
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State | MS
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Zip | 38671-9540
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Country | US
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Telephone | 662-536-2900
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Fax | 662-536-2990
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Provider Business Mailing Address
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Address Line | 1110 OAKHAVEN CV
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City | TUNICA
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State | MS
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Zip | 38676-6157
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Country | US
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Telephone | 662-902-3540
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Fax | 662-536-2990
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEVYN LOU SHING
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Credential | DMD
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Telephone | 662-536-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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