EUNJUNG SHIM DMD, MDS
NPI 1104930056
Dentist - Periodontics in Bayonne, NJ

Active since August 18, 2006
654 AVENUE C STE 202, BAYONNE, NJ 07002(201) 436-7777 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eunjung Shim Dmd, Mds NPPES

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

EUNJUNG SHIM DMD, MDS (NPI 1104930056) is an individual periodontics provider in Bayonne, New Jersey, licensed in New Jersey (057009) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1104930056
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameEUNJUNG SHIMCredential: DMD, MDS
Location Address654 AVENUE C STE 202Bayonne, NJ 07002-3899
Mailing Address127 Munsey RdEmerson, NJ 07630-1513 · (201) 927-7144
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateOctober 5, 2016
NPI 1104930056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NJ · 057009
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License 22DI02329900 (NJ), 9363084 (NY)
654 AVENUE C STE 202, Bayonne, NJ 07002

Accepted Insurance

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
654 AVENUE C STE 202
BAYONNE, NJ 07002
Dentist (Pediatric Dentistry)
654 AVENUE C STE 202
BAYONNE, NJ 07002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104930056, enumerated as an "individual" on August 18, 2006.

The provider is located at 654 AVENUE C STE 202 BAYONNE, NJ 07002 and the phone number is (201) 436-7777.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.