Bryan Iksu Shin, DDS

General Practice Dentistry · Everett, WA

Individual Active NPI

NPI number 1023592490

Practice location

927 128TH St SW
Everett, WA 98204-6315
Phone
(425) 290-6967

Open in Google Maps

NPI record

NPI
1023592490
Entity type
Individual (Type 1)
Enumeration date
September 20, 2018
Last updated
June 22, 2022
Certified
June 22, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE61103820 WA
General Practice Dentistry 1223G0001X 30.025406 OH

Mailing address

12721 192ND Pl E
Bonney Lake, WA 98391-8362
Phone
(614) 364-1695

About Dr. Shin

Bryan Iksu Shin, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 927 128TH St SW, Everett, WA 98204-6315. The NPI number 1023592490 was assigned on September 20, 2018 and the record was last updated on June 22, 2022.

Dr. Shin lists 2 licenses in the registry: #DE61103820 (WA) for General Practice Dentistry; #30.025406 (OH) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan Iksu Shin, DDS?

The NPI number is 1023592490.

What is the phone number of Dr. Shin?

The phone number listed for the practice location is (425) 290-6967.

Where is Dr. Shin located?

927 128TH St SW, Everett, WA 98204-6315.

What is the taxonomy code for Dr. Shin?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Everett

All General Practice Dentistry providers in Everett, WA →