Dr. Jicheol Shin, DMD
Dentist in Englewood Cliffs, New Jersey
1043490956- Practice location
- 460 Sylvan Ave # 1F, Englewood Cliffs, NJ 07632-2919
- Phone
- 201-461-0002
- Fax
- 201-816-1144
- Last updated
- February 29, 2008
Jicheol Shin is a Dentist based in Englewood Cliffs, NJ. Jicheol Shin practices in Englewood Cliffs, NJ and has the professional credentials of DMD. The NPI Number for Jicheol Shin is 1043490956 and holds a License No. 22DI02357800 (NJ). The current practice location address for Jicheol Shin is 460 Sylvan Ave # 1F, Englewood Cliffs, NJ 07632-2919 and can be reached out via phone at 201-461-0002 and via fax at 201-816-1144.
Provider Profile Details
- NPI Number
- 1043490956
- Provider Name
- Jicheol Shin
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 460 Sylvan Ave # 1F, Englewood Cliffs, NJ 07632-2919
- Phone Number
- 201-461-0002
- Fax Number
- 201-816-1144
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 7, 2007
- Last Update Date
- February 29, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 460 Sylvan Ave # 1F
Englewood Cliffs, NJ 07632-2919 - City
- Englewood Cliffs
- State
- New Jersey
- Zip
- 07632-2919
- Phone Number
- 201-461-0002
- Fax Number
- 201-816-1144
Provider Business Mailing Address Details
- Address
- 108 Lakeview Dr
Old Tappan, NJ 07675-7096 - City
- Old Tappan
- State
- NJ
- Zip
- 07675-7096
- Phone Number
- 201-497-5207
License Information
- License Number
- 22DI02357800
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Englewood Cliffs, NJ
View all Dentists in Englewood Cliffs →Frequently Asked Questions
What is the NPI number of Dr. Jicheol Shin, DMD?
The NPI number of Dr. Jicheol Shin, DMD is 1043490956. It was assigned on November 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Jicheol Shin, DMD?
Dr. Jicheol Shin, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02357800.
Where does Dr. Jicheol Shin, DMD practice?
The practice location is 460 Sylvan Ave # 1F, Englewood Cliffs, NJ 07632-2919. The office can be reached at 201-461-0002 (phone) or 201-816-1144 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043490956 directly on the NPPES registry website.