Bryan Shin, DDS, PLLC

General Practice Dentistry · Kent, WA

Organization Active NPI

NPI number 1487385175

Practice location

25052 104TH Ave SE Ste E
Kent, WA 98030-6853
Phone
(253) 236-0384

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NPI record

NPI
1487385175
Entity type
Organization (Type 2)
Enumeration date
June 22, 2022
Last updated
June 22, 2022
Certified
June 22, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

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

Authorized official

Name
Bryan Iksu Shin, DDS
Title
Dentist
Phone
(614) 364-1695

About Bryan Shin, DDS, PLLC

Bryan Shin, DDS, PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 25052 104TH Ave SE Ste E, Kent, WA 98030-6853. The NPI number 1487385175 was assigned on June 22, 2022 and the record was last updated on June 22, 2022.

The authorized official for this organization is Bryan Iksu Shin, DDS, Dentist.

Frequently asked questions

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

The NPI number is 1487385175.

What is the phone number of Bryan Shin, DDS, PLLC?

The phone number listed for the practice location is (253) 236-0384.

Where is Bryan Shin, DDS, PLLC located?

25052 104TH Ave SE Ste E, Kent, WA 98030-6853.

What is the taxonomy code for Bryan Shin, DDS, PLLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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