Provider Demographics
NPI:1588363766
Name:WANG, CLAIRE YEN SHIN (DDS)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:YEN SHIN
Last Name:WANG
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 1:14309 LEVERING ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78725-1729
Mailing Address - Country:US
Mailing Address - Phone:361-541-8785
Mailing Address - Fax:
Practice Address - Street 1:1670 E STATE HIGHWAY 71 STE A
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-2034
Practice Address - Country:US
Practice Address - Phone:512-240-6496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX41732122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program