EUNJUNG SHIM DMD MDS NPI 1104930056

NPI Information

  • NPI: 1104930056
  • Provider Name: EUNJUNG SHIM, DMD, MDS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 654 AVENUE C STE 202
    BAYONNE, NJ
    ZIP 07002
  • Phone: (201) 436-7777

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NPI Details

Eunjung Shim, DMD, MDS is a periodontics dentist in Bayonne, NJ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Eunjung Shim, DMD, MDS NPI is 1104930056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

654 AVENUE C STE 202
BAYONNE, NJ
ZIP 07002-899
Phone: (201) 436-7777

The enumeration date for this NPI number is 8/18/2006 and was last updated on 10/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist22DI02329900NEW JERSEYNo
2122300000XDentist9363084NEW YORKNo
31223P0300XDentistPeriodontics057009NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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