Active NPI
Pedg Bethesda Row MD LLC
- Dentist
- Bethesda, MD
National Provider Identifier
1366360117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
- PEDG
National Provider Directory
National Provider DirectoryLocations
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.
-
- Prosthodontics
- Bethesda, MD
- NPI 1821798018
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.