MEDICARE: DR. LAWRENCE SHUM DDS

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
1	1223P0221X	Pediatric Dentistry	062762	NY

General Provider Information

NPI Number	:	1073122743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE SHUM DDS

Provider Business Mailing Address
First Line	:	125 WALKER ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-4135
Country	:	US
Telephone Number	:	212-226-8866
Fax Number	:	212-226-2289

Provider Business Practice Location Address
First Line	:	13172 40TH RD
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5137
Country	:	US
Telephone Number	:	718-587-1111
Fax Number	:	718-886-3903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2020
Last Update Date	:	06/16/2025

Similar Medicare Providers

1477485894 — CHARLES B. WANG COMMUNITY HEALTH CENTER, INC.
Practice Location Address:

131-72 40TH ROAD
FLUSHING, NY
11354-5137

Practice Phone: 718-587-1300
Practice Fax:

1174554752 — NAVNEET KATHURIA MD
Practice Location Address:

13172 40TH RD
FLUSHING, NY
11354-5137

Practice Phone: 718-587-1111
Practice Fax: 718-886-3903

1760567960 — DR. RUMA SANYAL M.D.
Practice Location Address:

13172 40TH RD
FLUSHING, NY
11354-5137

Practice Phone: 718-587-1111
Practice Fax: 718-886-3903

1295197655 — WAI SZE SARAH YIP
Practice Location Address:

13172 40TH RD
FLUSHING, NY
11354-5137

Practice Phone: 718-886-7373
Practice Fax: 718-661-6035

1073968046 — KIRIN TRANSPORTATION INC
Practice Location Address:

13110 40TH RD FL 2
FLUSHING, NY
11354-5137

Practice Phone: 718-526-8888
Practice Fax: 347-644-6606

1083235642 — TAI YIN HSIEH
Practice Location Address:

13172 40TH RD
FLUSHING, NY
11354-5137

Practice Phone: 718-587-1111
Practice Fax: 718-886-3903

Directions to “ DR. LAWRENCE SHUM DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.