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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WYNN SHANG, DMD

Deactivated

DR. WYNN SHANG, DMD is a General Dentistry healthcare provider located in HUNTINGTON BEACH, California. NPI 1215450267 is deactivated in the NPPES registry. Verify at CMS.

General Dentistry · HUNTINGTON BEACH, CA

This NPI has been deactivated. The record was deactivated on June 6, 2018. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1215450267
Provider Type
Individual
Gender
Male
NPI Issued
Jul 21, 2017 (0.87671232876712 yrs)
Last Updated
Jul 29, 2020
Deactivated
Jun 6, 2018
License
DDS103456 (CA)

Practice Information

Address
21222 BEACH BLVD
HUNTINGTON BEACH, CA, 926485411
Browse CA providers · Browse ZIP 92648
Phone
9493811635
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in HUNTINGTON BEACH, CA

Name Credential NPI
MS. LORNA PULIDO DONES DMD 1619977352
DR. HOAIHANH NGUYEN D.D.S. 1376578104
DR. ROBERT M MACKIE DMD 1326068024
DR. KEN YEBISU D.D.S. 1235151119
RIA MARCELINA GUZMAN D.D.S. 1871507384
DR. DALE EDWIN BRANDON DDS 1003823501
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.