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EUI SIK SHIN DDS
NPI 1104233998
Dentist - General Practice in Baltimore, MD

Active since July 14, 2014
1900 N BROADWAY, BALTIMORE, MD 21213(443) 241-2516 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2022, Feb 9, 2022, Nov 19, 2015 (3 updates tracked since 2015).

About Eui Sik Shin Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EUI SIK SHIN DDS (NPI 1104233998) is an individual general practice provider in Baltimore, Maryland, licensed in Virginia (0401417775) and active in the NPI registry since July 2014. He maintains a secondary practice location in Laredo.

NPPES Registry Identity

NPI1104233998
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameEUI SIK SHINCredential: DDS
Location Address1900 N BROADWAYBaltimore, MD 21213-1437
Mailing Address11045 Nashville CtEllicott City, MD 21042-2485 · (312) 505-1629
Phone(443) 241-2516
Sole ProprietorNo
Enumeration DateJuly 14, 2014
Last NPPES UpdateJuly 7, 20223 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
✔ NPI 1104233998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in VA · 0401417775✔ Licensed in TX · 30901✔ Licensed in AZ · 8982✔ Licensed in MD · 16102
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 8982 (AZ)
1900 N BROADWAY, Baltimore, MD 21213
Open in Google Maps ↗

Secondary Practice Location 1

Location 12316 S Zapata Hwy Ste 190Laredo, TX 78046-6590 · Phone (956) 284-0570

Other Identifiers 3

Medicaid349710901TX
Medicaid927285AZ
Medicaid1144651MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ZAKIYA T SCOTT DDS
Dentist (General Practice)
1900 N BROADWAY, SUITE 102
BALTIMORE, MD 21213
Baltimore City (443) 957-1602
DR, DAVID M. VIETH 2 PC
Dentist (General Practice)
1900 N BROADWAY, SUITE 102
BALTIMORE, MD 21213
Baltimore City (443) 957-1602
DAVID ROBERT GROY D.M.D
Dentist
1900 N BROADWAY
BALTIMORE, MD 21213
Baltimore City (703) 785-6308
BALTIMORE COUNTY DIALYSIS, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1900 N BROADWAY
BALTIMORE, MD 21213
Baltimore City (410) 261-3252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eui Sik Shin's NPI number?

The NPI number for Eui Sik Shin is 1104233998. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Eui Sik Shin located?

Eui Sik Shin practices at 1900 N Broadway, Baltimore, MD 21213. The listed phone number is (443) 241-2516.

What is Eui Sik Shin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Eui Sik Shin accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 12 other insurers list Eui Sik Shin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eui Sik Shin was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.