Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHIN PROSTHODONTICS LLC
NPI 1255098620
Dentist - Prosthodontics in North Bethesda, MD

Q: What is Shin Prosthodontics LLC's NPI number?

The NPI number for Shin Prosthodontics LLC is 1255098620. It was assigned to this organization in the NPPES registry on November 20, 2021. The provider is also known as Pedg and Prostho Endo Dental Group. The provider was formerly known as PEDG Rockville MD LLC.

Q: What is Shin Prosthodontics LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Active since November 20, 2021

5904 HUBBARD DR, NORTH BETHESDA, MD 20852(301) 377-8306(240) 387-6945 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2026, Nov 20, 2021 (2 updates tracked since 2021).

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About Shin Prosthodontics Llc NPPES

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

SHIN PROSTHODONTICS LLC (NPI 1255098620), doing business as Pedg Rockville Md Llc, is a healthcare organization registered as a prosthodontics in North Bethesda, Maryland and active in the NPI registry since November 2021. The organization lists Dongjin Shin, Owner, as its authorized official.

NPPES Registry Identity

NPI1255098620

Entity TypeOrganization

Primary Taxonomy1223P0700X

Legal Business NameSHIN PROSTHODONTICS LLC

Location Address5904 HUBBARD DRNorth Bethesda, MD 20852-4823

Mailing Address5904 Hubbard DrNorth Bethesda, MD 20852-4823 · (301) 377-8306 · Fax (240) 387-6945

Phone(301) 377-8306

Fax(240) 387-6945

Organization SubpartNo

Authorized OfficialDongjin ShinOwner · (301) 377-8306

Enumeration DateNovember 20, 2021

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1255098620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

5904 HUBBARD DR, North Bethesda, MD 20852

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Other Names 3

Former Legal Business NamePedg Rockville Md Llc

Other NamePedg

Other NameProstho Endo Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. DONG-JIN SHIN DMD., MS

Dentist (Prosthodontics)

5904 HUBBARD DR
NORTH BETHESDA, MD 20852

Montgomery County (301) 377-8306

ANA KIM

Dentist (Endodontics)

5904 HUBBARD DR
ROCKVILLE, MD 20852

Montgomery County (301) 377-8306

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 Shin Prosthodontics LLC's NPI number?

The NPI number for Shin Prosthodontics LLC is 1255098620. It was assigned to this organization in the NPPES registry on November 20, 2021. The provider is also known as Pedg and Prostho Endo Dental Group. The provider was formerly known as PEDG Rockville MD LLC.

Where is Shin Prosthodontics LLC located?

Shin Prosthodontics LLC is located at 5904 Hubbard Dr, North Bethesda, MD 20852. The listed phone number is (301) 377-8306.

What is Shin Prosthodontics LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Shin Prosthodontics LLC was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.