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Eunjung Shim

Dentist Periodontist

654 Avenue C Ste 202
Bayonne , New Jersey 07002-3899

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Eunjung Shim

Dentist Periodontist

654 Avenue C Ste 202
Bayonne , New Jersey 07002-3899

(201) 927-7144

Write a Review Save Call

Eunjung Shim

Dentist Periodontist

654 Avenue C Ste 202
Bayonne , New Jersey 07002-3899

(201) 927-7144 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dentist
  • Periodontist

Languages spoken

  • English

Location

654 Avenue C Ste 202 Bayonne , New Jersey 07002-3899

First Address

  • Eunjung Shim
  • 127 Munsey Rd
  • Emerson, NJ
  • Zip : 07630-1513
  • Phone : (201) 927-7144

Second Address

  • Eunjung Shim
  • 654 Avenue C Ste 202
  • Bayonne, NJ
  • Zip : 07002-3899
  • Phone : (201) 436-7777

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FAQs


Where did Eunjung Shim attend graduate school?

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Where did Eunjung Shim do her residency?

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Where did Eunjung Shim do her fellowship?

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Is Eunjung Shim board certified?

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What type of doctor is Eunjung Shim

Periodontist

In what state does Eunjung Shim practice in?

New Jersey

Where is Eunjung Shim ’s practice located?

654 Avenue C Ste 202 , Bayonne, New Jersey, 07002-3899

What is Eunjung Shim ’s gender?

Female

Is Eunjung Shim a sole practitioner?

No

Is Eunjung Shim accepting new patients?

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What languages does Eunjung Shim speak?

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Does Eunjung Shim accept insurance?

Yes, Eunjung Shim accepts insurance

Does Eunjung Shim offers telemedicine?

Eunjung Shim has not indicated if she offers telemedicine

What is Eunjung Shim ’s professional license number?

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What is Eunjung Shim ’s NPI number?

1104930056

Does Eunjung Shim have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 122300000X Dentist 22DI02329900 NJ
N 122300000X Dentist 9363084 NY
Y 1223P0300X Periodontist 057009 NJ

National Provider Identifier

NPI 1104930056
Provider Name Eunjung Shim
First Address Emerson, NJ 07630-1513
Second Address Bayonne, NJ 07002-3899
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 18/08/2006
Last Update Date 05/10/2016

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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