Provider Demographics
NPI:1760971899
Name:SHEE, CHIH YUNG IAN (DMD)
Entity type:Individual
Prefix:DR
First Name:CHIH YUNG
Middle Name:IAN
Last Name:SHEE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HOOKS LN STE 212
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1619
Mailing Address - Country:US
Mailing Address - Phone:410-653-0040
Mailing Address - Fax:
Practice Address - Street 1:25 HOOKS LN STE 212
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-1619
Practice Address - Country:US
Practice Address - Phone:106-530-0040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16829122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist