Kyungsup Shin
Orthodontists
219 Dental Science Bldg S
Iowa City
, Iowa 52242-1001
Kyungsup Shin
Orthodontists
219 Dental Science Bldg S
Iowa City
, Iowa 52242-1001
(319) 335-7451
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Kyungsup Shin
- 322 Dental Science Bldg S
- Iowa City, IA
- Zip : 52242-1001
- Fax : (319) 335-7451
- Phone : (319) 335-7440
Second Address
- Kyungsup Shin
- 219 Dental Science Bldg S
- Iowa City, IA
- Zip : 52242-1001
- Phone : (319) 335-7287
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 40155 | IA |
National Provider Identifier
| NPI | 1023446853 |
|---|---|
| Provider Name | Kyungsup Shin |
| First Address | Iowa City, IA 52242-1001 |
| Second Address | Iowa City, IA 52242-1001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2013 |
| Last Update Date | 14/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.