SHUJIE YAN
Dentist (General Practice)

Address: 240 S 40th St, Philadelphia, PA 19104-6030

SHUJIE YAN (NPI# 1093300477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093300477
Entity Type Individual
Full Name SHUJIE YAN
Gender Female
Credential D.M.D
Practice Address 240 S 40th St
Philadelphia
PA 19104-6030
Practice Telephone 9515530096
Mailing Address 466 Karlann Dr
Black Hawk
CO 80422-4073
Mailing Telephone 9515530096
Certification Date 2021-03-07
Enumeration Date 2021-03-07
Last Update Date 2021-03-07
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
NA CO Dental Providers

Office Location

Street Address 240 S 40TH ST
City PHILADELPHIA
State PA
Zip Code 19104-6030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205428489 Kristina Mendlowski Student in an Organized Health Care Education/Training Program 240 S 40th St, Philadelphia, PA 19104-6030 2021-02-09
1932791340 Ya-Wei Chen Student in an Organized Health Care Education/Training Program 240 S 40th St, Philadelphia, PA 19104-6030 2021-02-07
1043800667 Trustees of The University of Pennsylvania Anesthesiology 240 S 40th St, Philadelphia, PA 19104-6030 2021-01-19
1215533609 Hannah Alexandra Liss Dentist 240 S 40th St, Philadelphia, PA 19104-6030 2020-12-10
1164023800 Nasim Levin Dentist · Endodontics 240 S 40th St, Philadelphia, PA 19104-6030 2020-11-07
1992304497 Meena Matloob Dentist 240 S 40th St, Philadelphia, PA 19104-6030 2020-10-26
1851905905 Nathan Yip Specialist 240 S 40th St, Philadelphia, PA 19104-6030 2020-09-06
1730706334 Jessie Jiang Student in an Organized Health Care Education/Training Program 240 S 40th St, Philadelphia, PA 19104-6030 2020-06-30
1376160192 Rebecca Gollub Dentist · Pediatric Dentistry 240 S 40th St, Philadelphia, PA 19104-6030 2020-06-26
1629697586 Sri Sai Jaahnavi Kodali Student in an Organized Health Care Education/Training Program 240 S 40th St, Philadelphia, PA 19104-6030 2020-04-10
Find all providers in the same address

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689291767 Joyce Ganas Dentist · Pediatric Dentistry 240 South 40th Street, Upenn Department of Dentistry, Philadelphia, PA 19104-6030 2020-07-06

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1225623275 Jennie Berman Nurse Practitioner · Acute Care 3400 Civic Center Blvd, Perelman Center for Advanced Medicine, 4 South, Philadelphia, PA 19104 2021-03-02
1346830015 Albert Griffith Pharmacist 3400 Civic Center Blvd, West Pavilion Room 101, Philadelphia, PA 19104 2021-01-26
1740886399 Sarah Mcmanness Nurse Practitioner · Acute Care 52 N 39th St, Philadelphia, PA 19104 2020-12-09
1578169330 Erica English Dougherty · Erica English Nurse Practitioner 3400 Civic Center Boulevard, Perelman Center for Advanced Medicine, 3rd Floor West, Philadelphia, PA 19104 2020-12-08
1295338473 Scott Halperin Pharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 3925 Walnut Street, Cvs, Philadelphia, PA 19104 2020-11-19
1518569599 Melissa Ann Attanasio Nurse Practitioner 3400 Spruce Street, Floor 5 Ravdin Building, Philadelphia, PA 19104 2020-11-13
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1942809538 Terry P Huh Specialist/Technologist, Other 3900 Delancey St, Pennvet Hostpial, Philadelphia, PA 19104 2020-10-23
1346853041 Spectrum Health Services, Inc. Clinic/Center · Federally Qualified Health Center (FQHC) 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1376161562 Janine Andrea Vonlanthen Surgery · Pediatric Surgery 3401 Civic Center Blvd, Devision of General Surgery, Philadelphia, PA 19104 2020-07-14
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396339693 Briana E Jones 6140a Woodland Ave, Philadelphia, PA 19142-3224 2021-02-26
1194319152 Smile Team PC 1335 W Tabor Rd Ste 312, Philadelphia, PA 19141-3041 2021-02-21
1891386413 Smile Defenders LLC 3117 Kensington Ave, Philadelphia, PA 19134-2420 2021-01-27
1447841135 Aria Sharma 358 E Wyoming Ave, Philadelphia, PA 19120-4435 2021-01-27
1942802699 Port Richmond Dental Center 3162 Richmond St Fl 1, Philadelphia, PA 19134-5827 2020-11-09
1790385581 Samir Zahedpasha 1933 Delancey Pl, Philadelphia, PA 19103-6611 2020-10-29
1588270060 Suwadad A Aldawodie 2119 Cottman Ave, Philadelphia, PA 19149-1122 2020-09-20
1144830134 Charles Tolliferreo Jr. 61 W Chelten Ave, Philadelphia, PA 19144-2701 2020-08-04
1205446481 Zainab Abdul Rehman Sheikh 2455 Grant Ave, Philadelphia, PA 19114-1004 2020-08-03
1407464423 Ping Wang 3223 N Broad St, Philadelphia, PA 19140-5007 2020-07-15
Find all providers in PHILADELPHIA

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.