Provider Demographics
NPI:1053868331
Name:TAI, CHIA-YIN (DDS)
Entity type:Individual
Prefix:
First Name:CHIA-YIN
Middle Name:
Last Name:TAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 AMY DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3356
Mailing Address - Country:US
Mailing Address - Phone:202-812-9198
Mailing Address - Fax:
Practice Address - Street 1:1015 N MURPHY RD STE 100
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4336
Practice Address - Country:US
Practice Address - Phone:972-836-0108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-05
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX322451223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics