SHUJIE YAN D.M.D
NPI 1093300477
Dentist - General Practice in Moody Afb, GA

Active since March 07, 2021
3278 MITCHELL BLVD, MOODY AFB, GA 31699(229) 257-2778 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2023, Sep 15, 2022, Feb 2, 2022 and 3 more (6 updates tracked since 2021).

About Shujie Yan D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHUJIE YAN D.M.D (NPI 1093300477) is an individual general practice provider in Moody Afb, Georgia, licensed in Colorado (NA) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1093300477
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSHUJIE YANCredential: D.M.D
Location Address3278 MITCHELL BLVDMoody Afb, GA 31699-1500
Mailing Address3278 Mitchell BlvdMoody Afb, GA 31699-1500 · (229) 257-2778
Sole ProprietorYes
Enumeration DateMarch 7, 2021
Last NPPES UpdateAugust 25, 20256 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
NPI 1093300477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CO · NA
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3278 MITCHELL BLVD, Moody Afb, GA 31699

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physical Therapist
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Pharmacist
3278 MITCHELL BLVD, PHARMACY
MOODY AFB, GA 31699
Dentist (General Practice)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Psychologist (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Nurse Practitioner (Women's Health)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shujie Yan's NPI number?

The NPI number for Shujie Yan is 1093300477. It was assigned to this individual provider in the NPPES registry on March 7, 2021.

Where is Shujie Yan located?

Shujie Yan practices at 3278 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (229) 257-2778.

What is Shujie Yan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shujie Yan was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.