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SHOE CITY FAMILY DENTAL PC
NPI 1487267282
Clinic/Center - Dental in Haverhill, MA

Active since August 31, 2020
103 MERRIMACK ST, HAVERHILL, MA 01830(978) 971-0060(978) 971-0061 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2023, Aug 31, 2020 (2 updates tracked since 2020).

About Shoe City Family Dental Pc NPPES

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

SHOE CITY FAMILY DENTAL PC (NPI 1487267282) is a healthcare organization registered as a dental in Haverhill, Massachusetts and active in the NPI registry since August 2020. The organization lists Dong Won Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1487267282
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSHOE CITY FAMILY DENTAL PC
Location Address103 MERRIMACK STHaverhill, MA 01830-6208
Mailing Address103 Merrimack StHaverhill, MA 01830-6208 · (978) 971-0060 · Fax (978) 971-0061
Phone(978) 971-0060
Fax(978) 971-0061
Organization SubpartNo
Authorized OfficialDong Won KimOwner · (617) 888-3400
Enumeration DateAugust 31, 2020
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1487267282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
103 MERRIMACK ST, Haverhill, MA 01830
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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. KUGUN LEE DMD
Dentist (General Practice)
103 MERRIMACK ST
HAVERHILL, MA 01830
Essex County (978) 971-0060

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 Shoe City Family Dental PC's NPI number?

The NPI number for Shoe City Family Dental PC is 1487267282. It was assigned to this organization in the NPPES registry on August 31, 2020.

Where is Shoe City Family Dental PC located?

Shoe City Family Dental PC is located at 103 Merrimack St, Haverhill, MA 01830. The listed phone number is (978) 971-0060.

What is Shoe City Family Dental PC's specialty?

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

What insurance does Shoe City Family Dental PC accept?

Health plans from UnitedHealthcare list Shoe City Family Dental PC 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 Shoe City Family Dental PC was last updated on January 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.