Irene C. Shin DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IRENE C. SHIN DDS LLC

Doing business as

Avenwell Dental

Practice address

5910 Frederick Crossing LN Ste 101
Frederick, MD 21704-5141

Phone

(301) 662-4422

NPI assigned

Oct 3, 2026

Last updated

Oct 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irene Shin, DDS

Title

Owner

Phone

(301) 662-4422

Specialties & licenses 1

Addresses

Other names 1

• Avenwell Dental Doing business as

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1609770817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 FREDERICK CROSSING LN STE 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045141",
            "telephone_number": "301-662-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 FREDERICK CROSSING LN STE 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045141",
            "telephone_number": "301-662-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE C. SHIN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-662-4422",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenwell Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Frederick, MD
• Providers in Frederick, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.