Brandon J Shim, DDS
Dentist, General Practice in Newark, New Jersey
1841020021- Practice location
- 539 Bloomfield Ave Ste 3, Newark, NJ 07107-1385
- Phone
- 973-604-1600
- Fax
- —
- Last updated
- August 3, 2024
Brandon Jaeyoon Shim is a Dentist, General Practice based in Newark, NJ. Brandon Jaeyoon Shim practices in Newark, NJ and has the professional credentials of DDS. The NPI Number for Brandon Jaeyoon Shim is 1841020021 and holds a License No. 22DI03052500 (NJ). The current practice location address for Brandon Jaeyoon Shim is 539 Bloomfield Ave Ste 3, Newark, NJ 07107-1385 and can be reached out via phone at 973-604-1600.
Provider Profile Details
- NPI Number
- 1841020021
- Provider Name
- Brandon Jaeyoon Shim
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 539 Bloomfield Ave Ste 3, Newark, NJ 07107-1385
- Phone Number
- 973-604-1600
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 3, 2024
- Last Update Date
- August 3, 2024
- Certification Date
- August 3, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 539 Bloomfield Ave Ste 3
Newark, NJ 07107-1385 - City
- Newark
- State
- New Jersey
- Zip
- 07107-1385
- Phone Number
- 973-604-1600
Provider Business Mailing Address Details
- Address
- 539 Bloomfield Ave Ste 3
Newark, NJ 07107-1385 - City
- Newark
- State
- NJ
- Zip
- 07107-1385
License Information
- License Number
- 22DI03052500
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Brandon J Shim, DDS?
The NPI number of Brandon J Shim, DDS is 1841020021. It was assigned on August 3, 2024 and is currently active in the NPPES registry.
What is the specialty of Brandon J Shim, DDS?
Brandon J Shim, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI03052500.
Where does Brandon J Shim, DDS practice?
The practice location is 539 Bloomfield Ave Ste 3, Newark, NJ 07107-1385. The office can be reached at 973-604-1600 (phone).
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 1841020021 directly on the NPPES registry website.