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NPI Code Detail

MEDICARE: DR. YING AN

MEDICARE: DR. YING AN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry30.024747OH

General Provider Information

NPI Number : 1780032045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YING AN
Provider Business Mailing Address
First Line : 18207 SHERRINGTON RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122
Country : US
Telephone Number : 484-919-2375
Fax Number :
Provider Business Practice Location Address
First Line : 3523 COMMERCIAL DR
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-5107
Country : US
Telephone Number : 330-668-9977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2016
Last Update Date : 01/16/2020

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Directions to “ DR. YING AN ” Practice Location

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