EUNJUNG SHIM DMD MDS NPI 1104930056

NPI Information

NPI: 1104930056
Provider Name: EUNJUNG SHIM, DMD, MDS
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

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

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
1	122300000X	Dentist		22DI02329900	NEW JERSEY	No
2	122300000X	Dentist		9363084	NEW YORK	No
3	1223P0300X	Dentist	Periodontics	057009	NEW JERSEY	Yes

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »