Individual provider · Type 1 NPI

Grace Siman Zhu

Pediatric Dentistry · New Haven, CT

NPI number 1073178752 Active

Practice location

20 York St
New Haven, CT 06510-3220

Mailing address

136 Greenwood Cir
Walnut Creek, CA 94597-2123

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDDS111001 (CA)
Pediatric Dentistry 1223P0221XDS043027 (PA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1073178752

Grace Siman Zhu's National Provider Identifier is 1073178752, issued on May 7, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in New Haven, CT. The record was last updated on Sep 30, 2025.