DR. ALBERT SHIM DDS NPI 1588236673

NPI Information

NPI: 1588236673
Provider Name: DR. ALBERT SHIM, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
2530 NW MEDICAL PARK DR
ROSEBURG, OR
ZIP 97471
Phone: (541) 837-1713
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DR. Albert Shim, DDS is a general practice dentist in Roseburg, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Albert Shim, DDS NPI is 1588236673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2530 NW MEDICAL PARK DR
ROSEBURG, OR
ZIP 97471-510
Phone: (541) 837-1713

The NPI 1588236673 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/16/2021 and was last updated on 1/10/2023.

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		D11729	OREGON	No
2	1223G0001X	Dentist	General Practice	12363998-9922	UTAH	No
3	1223G0001X	Dentist	General Practice	D11729	OREGON	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

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