Albert Shim, DDS

General Practice Dentistry · Roseburg, OR

Individual Active NPI

NPI number 1588236673

Practice location

2530 NW Medical Park Dr
Roseburg, OR 97471-5510
Phone
(541) 837-1713

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NPI record

NPI
1588236673
Entity type
Individual (Type 1)
Enumeration date
July 16, 2021
Last updated
January 10, 2023
Certified
January 10, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D11729 OR
Dentist 122300000X D11729 OR
General Practice Dentistry 1223G0001X 12363998-9922 UT

About Dr. Shim

Albert Shim, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2530 NW Medical Park Dr, Roseburg, OR 97471-5510. The NPI number 1588236673 was assigned on July 16, 2021 and the record was last updated on January 10, 2023.

Dr. Shim lists 3 licenses in the registry: #D11729 (OR) for General Practice Dentistry; #D11729 (OR) for Dentist; #12363998-9922 (UT) 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 Albert Shim, DDS?

The NPI number is 1588236673.

What is the phone number of Dr. Shim?

The phone number listed for the practice location is (541) 837-1713.

Where is Dr. Shim located?

2530 NW Medical Park Dr, Roseburg, OR 97471-5510.

What is the taxonomy code for Dr. Shim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 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.

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