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SHELDON XIAOCHEN LU DMD INC
NPI 1417479890
Dentist - Periodontics in Tustin, CA

Active since July 07, 2017
17501 IRVINE BLVD, SUITE 101, TUSTIN, CA 92780(714) 835-4441(714) 835-0188 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Jul 7, 2017 (2 updates tracked since 2017).

About Sheldon Xiaochen Lu Dmd Inc NPPES

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

SHELDON XIAOCHEN LU DMD INC (NPI 1417479890) is a healthcare organization registered as a periodontics in Tustin, California and active in the NPI registry since July 2017. The organization lists Sheldon Xiaochen Lu, Owner, as its authorized official.

NPPES Registry Identity

NPI1417479890
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSHELDON XIAOCHEN LU DMD INC
Location Address17501 IRVINE BLVD, SUITE 101Tustin, CA 92780-3103
Mailing Address17501 Irvine Blvd Ste 101Tustin, CA 92780-3147 · (714) 835-4441 · Fax (714) 835-0188
Phone(714) 835-4441
Fax(714) 835-0188
Organization SubpartNo
Authorized OfficialSheldon Xiaochen LuOwner · (714) 835-4441
Enumeration DateJuly 7, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1417479890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 64765
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 61156 (CA), 56342 (CA)
17501 IRVINE BLVD, Tustin, CA 92780
Open in Google Maps ↗

Other Names 1

Former Legal Business NameSheldon Xiaochen Lu Dmd Inc

Other Identifiers 1

Medicaid528732CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

MS. REATA LYN RHINE LCSW
Social Worker (Clinical)
17501 IRVINE BLVD, 10
TUSTIN, CA 92780
Orange County (714) 505-3803

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 Sheldon Xiaochen Lu Dmd Inc's NPI number?

The NPI number for Sheldon Xiaochen Lu Dmd Inc is 1417479890. It was assigned to this organization in the NPPES registry on July 7, 2017.

Where is Sheldon Xiaochen Lu Dmd Inc located?

Sheldon Xiaochen Lu Dmd Inc is located at 17501 Irvine Blvd Suite 101, Tustin, CA 92780. The listed phone number is (714) 835-4441.

What is Sheldon Xiaochen Lu Dmd Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Sheldon Xiaochen Lu Dmd Inc accept?

Health plans from UnitedHealthcare list Sheldon Xiaochen Lu Dmd Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheldon Xiaochen Lu Dmd Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.