# AILIN SHAN,DMD,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962672535
- **Authorized official:** DR. AILIN SHAN DMD (PRESIDENT)
- **Authorized official phone:** (804) 756-6658

## Contact information

- **Practice address:** 5412 GLENSIDE DR, SUITE C, RICHMOND, VA 23228-3995
- **Practice address phone:** (804) 756-6658
- **Practice address fax:** (804) 756-6662
- **Mailing address:** 5412 GLENSIDE DR, SUITE C, RICHMOND, VA 23228-3995
- **Mailing address phone:** (804) 756-6658
- **Mailing address fax:** (804) 756-6662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410938 | VA | Yes |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 03/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9180406 | — | VA |