CHARLES LAURENCE SHIMOTA DDS
NPI 1598459489
Dentist - General Practice in Woodbury, MN

Q: What is Charles Shimota's NPI number?

The NPI number for Charles Shimota is 1598459489. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Q: What is Charles Shimota's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Shimota was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 05, 2023

215 RADIO DR STE 201, WOODBURY, MN 55125(651) 739-7910 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles Laurence Shimota Dds NPPES

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

CHARLES LAURENCE SHIMOTA DDS (NPI 1598459489) is an individual general practice provider in Woodbury, Minnesota, licensed in Minnesota (D14898) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1598459489

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameCHARLES LAURENCE SHIMOTACredential: DDS

Location Address215 RADIO DR STE 201Woodbury, MN 55125-5820

Mailing Address215 Radio Dr Ste 201Woodbury, MN 55125-5820 · (651) 739-7910

Phone(651) 739-7910

Sole ProprietorNo

Enumeration DateJune 5, 2023

NPPES CertifiedJune 5, 2023

✔ NPI 1598459489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D14898

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.

215 RADIO DR STE 201, Woodbury, MN 55125

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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.

WOODBURY DENTAL CARE

Clinic/Center (Dental)

215 RADIO DR STE 201
SAINT PAUL, MN 55125

Washington County (651) 739-7910

DR. MICHAEL MANFRED PELKE D.D.S.

Dentist (General Practice)

215 RADIO DR STE 201
SAINT PAUL, MN 55125

Washington County (651) 739-7910

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 Charles Shimota's NPI number?

The NPI number for Charles Shimota is 1598459489. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Charles Shimota located?

Charles Shimota practices at 215 Radio Dr Ste 201, Woodbury, MN 55125. The listed phone number is (651) 739-7910.

What is Charles Shimota's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Shimota was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.