Patrick J. Shine, DMD, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PATRICK J. SHINE, DMD, P.A.

Practice address

607 Benson Rd Ste a
Garner, NC 27529-3988

Phone

(919) 772-7030

Fax

(919) 772-7810

NPI assigned

Aug 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patrick J Shine, DMD

Title

Dentist

Phone

(607) 221-8607

Specialties & licenses 1

Addresses

Other names 1

• Shine Family Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1114693793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BENSON RD STE A",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293988",
            "telephone_number": "919-772-7030",
            "fax_number": "919-772-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BENSON RD STE A",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293988",
            "telephone_number": "919-772-7030",
            "fax_number": "919-772-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. SHINE, DMD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "SHINE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "607-221-8607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shine Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruhi Pranay Patel, DMD
• Surabhi Patel, RPH
• Vaishali Patel, PT
• Vishal K Patel, DPT
• Pathways for Success, LLC
• Lindsay Ann Patterson, FNP-C, RN, BSN
• Alexandra Brye Patton, MSW, LCSW
• Paul Samia DDS PLLC
• Tereyonna Paul
• Peaceful Wisdom Counseling Services, PLLC

• General Practice Dentistry in Garner, NC
• Providers in Garner, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.