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MODERN DENTAL
NPI 1467971614
Clinic/Center - Dental in Fort Lee, NJ

Active since September 19, 2017
422 MAIN ST FL 1, FORT LEE, NJ 07024(201) 585-1838(201) 585-1719 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Sep 19, 2017 (2 updates tracked since 2017).

About Modern Dental NPPES

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

MODERN DENTAL (NPI 1467971614) is a healthcare organization registered as a dental in Fort Lee, New Jersey and active in the NPI registry since September 2017. The organization lists Hyun Won Anna Shin, Dentist, as its authorized official.

NPPES Registry Identity

NPI1467971614
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameANNA SHIN DDS, INC
Location Address422 MAIN ST FL 1Fort Lee, NJ 07024-2861
Mailing Address422 Main St Fl 1Fort Lee, NJ 07024-2861 · (201) 585-1838
Phone(201) 585-1838
Fax(201) 585-1719
Organization SubpartNo
Authorized OfficialHyun Won Anna ShinDentist · (201) 585-1838
Enumeration DateSeptember 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1467971614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NJ · 22DI0226700
422 MAIN ST FL 1, Fort Lee, NJ 07024
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Other Names 1

Other NameModern Dental

Other Providers at the Same Location NPPES

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

DR. HYUN WON SHIN D.D.S
Dentist (General Practice)
422 MAIN ST FL 1
FORT LEE, NJ 07024
Bergen County (917) 291-0677

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 Anna Shin Dds, Inc's NPI number?

The NPI number for Anna Shin Dds, Inc is 1467971614. It was assigned to this organization in the NPPES registry on September 19, 2017. The provider is also known as Modern Dental.

Where is Anna Shin Dds, Inc located?

Anna Shin Dds, Inc is located at 422 Main St Fl 1, Fort Lee, NJ 07024. The listed phone number is (201) 585-1838.

What is Anna Shin Dds, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Anna Shin Dds, Inc was last updated on July 21, 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.