Shine Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050531 Issued in NY

Legal business name

SHINE DENTAL PC

Practice address

4543A Bell Blvd
Bayside, NY 11361-3352

Phone

(718) 423-2248

NPI assigned

Dec 18, 2007

Last updated

Dec 18, 2007By 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

Dr. Dustin Shin, DDS

Title

President

Phone

(718) 423-2248

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sunhoon Loh, DDS

  • General Practice Dentistry
  • Bayside, NY
  • NPI 1770789034
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1720262496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543A BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613352",
            "telephone_number": "718-423-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543A BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613352",
            "telephone_number": "718-423-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-423-2248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Sherman-Tanzer
• Ruojie Shi
• Abigail Gabrielle Shieh, MSOT, OTR/L
• Heesun Grace Shim, MS OTR/L
• Yunah Shin, MS, L.AC
• Shine Pediatric Dentistry
• Lillian Shinsato, LCSW
• Shmuely and Schevon DDS LLP
• Aviram D. Shmuely, D.D.S.
• Alexis Shooshani

• General Practice Dentistry in Bayside, NY
• Providers in Bayside, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.