Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAN GONG, D.M.D.
Active Sole ProprietorSHAN GONG, D.M.D. is a General Dentistry healthcare provider located in FRESNO, California. NPI 1912367269 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FRESNO, CA
Registration Details
- NPI Number
- 1912367269
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 29, 2016 (10.470218087373 yrs)
- Last Updated
- Aug 21, 2024
- License
-
101693 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8413 N MILLBROOK AVE STE 101FRESNO, CA, 937202195Browse CA providers · Browse ZIP 93720
- Phone
- 5594489000
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FRESNO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. ALLEN HIRCH SIMMONS | D.D.S. | 1164421657 |
| SERGIEI BROUNTCHENKO | DDS | 1740272970 |
| DR. GREGORY MIYAKE | DDS | 1003800137 |
| DR. TREVA DIANE LEE | DDS | 1952399248 |
| DR. XAVIER J. GUTIERREZ | DDS | 1225027758 |
| THERESA HANH DANG BENTLEY | — | 1154392769 |
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.