Bryan Wontaek Shin

Pediatric Dentistry · Fishers, IN

Individual Active NPI

NPI number 1689362204

Practice location

13760 Lakeridge Dr
Fishers, IN 46037-7608
Phone
(317) 588-2575

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NPI record

NPI
1689362204
Entity type
Individual (Type 1)
Enumeration date
May 1, 2023
Last updated
July 17, 2025
Certified
July 17, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 12014784A IN

Mailing address

9723 Northfork Dr
Brentwood, TN 37027-8334
Phone
(615) 707-0330

About Bryan Shin

Bryan Wontaek Shin is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 13760 Lakeridge Dr, Fishers, IN 46037-7608. The NPI number 1689362204 was assigned on May 1, 2023 and the record was last updated on July 17, 2025.

Bryan Shin lists a license in the registry: #12014784A (IN) for Pediatric 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 Wontaek Shin?

The NPI number is 1689362204.

What is the phone number of Bryan Shin?

The phone number listed for the practice location is (317) 588-2575.

Where is Bryan Shin located?

13760 Lakeridge Dr, Fishers, IN 46037-7608.

What is the taxonomy code for Bryan Shin?

The primary taxonomy code is 1223P0221X – Pediatric 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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