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NPI Code Detail

MEDICARE: FRANCIS SHIN D.D.S.

MEDICARE: FRANCIS SHIN D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry047646NY
21223G0001XGeneral Practice Dentistry009649CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538210638
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCIS SHIN D.D.S.
Provider Business Mailing Address
First Line : 25 VALLEY DR STE 2
Second Line :
City : GREENWICH
State : CT
Zip : 06831-5203
Country : US
Telephone Number : 203-625-0301
Fax Number : 203-661-2699
Provider Business Practice Location Address
First Line : 25 VALLEY DR STE 2
Second Line :
City : GREENWICH
State : CT
Zip : 06831-5203
Country : US
Telephone Number : 203-625-0301
Fax Number : 203-661-2699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 02/22/2021

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Directions to “ FRANCIS SHIN D.D.S.” Practice Location

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