Organization Active NPI

Pedg Bethesda Row MD LLC

  • Dentist
  • Bethesda, MD
National Provider Identifier
1366360117
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PEDG BETHESDA ROW MD LLC
Doing business as
Prostho Endo Dental Group
Practice address
4825 Bethesda Ave Ste 308
Bethesda, MD 20814-5245
Phone
(301) 377-8306
NPI assigned
Jul 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Dr. Dongjin Shin, DMD
Title
Owner
Phone
(301) 377-8306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4825 Bethesda Ave Ste 308
Bethesda, MD 20814-5245

Mailing address

4825 Bethesda Ave Ste 308
Bethesda, MD 20814-5245
Phone (301) 377-8306

Other names 2

  • Prostho Endo Dental Group Doing business as
  • PEDG Other name

National Provider Directory

National Provider Directory

Locations

4825 Bethesda Ave
Ste 308
Bethesda, MD 20814
Phone (301) 652-3997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1366360117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 BETHESDA AVE STE 308",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145245",
            "telephone_number": "301-377-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 BETHESDA AVE STE 308",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145245",
            "telephone_number": "301-377-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDG BETHESDA ROW MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "DONGJIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-377-8306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prostho Endo Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PEDG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.