1568725885 NPI number — JAMIE SUNG-YAN SIENG DDS

Table of content: JAMIE SUNG-YAN SIENG DDS (NPI 1568725885)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568725885 NPI number — JAMIE SUNG-YAN SIENG DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SIENG
Provider First Name:
JAMIE
Provider Middle Name:
SUNG-YAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WONG
Provider Other First Name:
JAMIE
Provider Other Middle Name:
SUNG-YAN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1568725885
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7785 ELDORADO PKWY STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCKINNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-548-5400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7785 ELDORADO PKWY STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKINNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75070
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-548-5400
Provider Business Practice Location Address Fax Number:
469-759-1044
Provider Enumeration Date:
06/21/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  27939 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)