Active NPIIndividual providerSole proprietor

Dr. Dongjin Shin, DDS

Dentist, General Practice in Runnemede, New Jersey

NPI Number1710024013
Practice location
658 N Black Horse Pike, Runnemede, NJ 08078-1370
Fax
856-939-0104
Last updated
January 6, 2010

Dongjin Shin is a Dentist, General Practice based in Runnemede, NJ. Dongjin Shin practices in Runnemede, NJ and has the professional credentials of DDS. The NPI Number for Dongjin Shin is 1710024013 and holds a License No. 22DI02219600 (NJ). The current practice location address for Dongjin Shin is 658 N Black Horse Pike, Runnemede, NJ 08078-1370 and can be reached out via phone at 856-939-3405 and via fax at 856-939-0104.

Provider Profile Details

NPI Number
1710024013
Provider Name
Dongjin Shin
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
658 N Black Horse Pike, Runnemede, NJ 08078-1370
Phone Number
856-939-3405
Fax Number
856-939-0104
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2007
Last Update Date
January 6, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
658 N Black Horse Pike
Runnemede, NJ 08078-1370
Zip
08078-1370
Phone Number
856-939-3405
Fax Number
856-939-0104
Runnemede, NJ 08078Get directions →

Provider Business Mailing Address Details

Address
417 Old Orchard Road
Cherry Hill, NJ 08003-1317
City
Cherry Hill
State
NJ
Zip
08003-1317
Phone Number
856-986-6606
Fax Number
856-751-0593

License Information

License Number
22DI02219600
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Dongjin Shin, DDS?

The NPI number of Dr. Dongjin Shin, DDS is 1710024013. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Dongjin Shin, DDS?

Dr. Dongjin Shin, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02219600.

Where does Dr. Dongjin Shin, DDS practice?

The practice location is 658 N Black Horse Pike, Runnemede, NJ 08078-1370. The office can be reached at 856-939-3405 (phone) or 856-939-0104 (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 1710024013 directly on the NPPES registry website.

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