SHANE VAN OOSTENDORP DDS
NPI 1679125488
Dentist in Columbus, NC

Q: What is Shane Van Oostendorp's NPI number?

The NPI number for Shane Van Oostendorp is 1679125488. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Q: What is Shane Van Oostendorp's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 11, 2019

43 E MILLS ST, COLUMBUS, NC 28722(828) 894-8291(828) 894-5124 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shane Van Oostendorp Dds NPPES

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

SHANE VAN OOSTENDORP DDS (NPI 1679125488) is an individual dentist in Columbus, North Carolina, licensed in North Carolina (11552) and active in the NPI registry since July 2019. He maintains a secondary practice location in Forest City.

NPPES Registry Identity

NPI1679125488

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSHANE VAN OOSTENDORPCredential: DDS

Location Address43 E MILLS STColumbus, NC 28722-0018

Mailing Address43 E Mills StColumbus, NC 28722-0018 · (828) 894-8291

Phone(828) 894-8291

Fax(828) 894-5124

Sole ProprietorNo

Enumeration DateJuly 11, 2019

Last NPPES UpdateApril 29, 2025

NPPES CertifiedApril 29, 2025

✔ NPI 1679125488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NC · 11552

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

43 E MILLS ST, Columbus, NC 28722

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Secondary Practice Location 1

Location 1145 S Powell StForest City, NC 28043-3627 · Phone (828) 245-9112

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. CALEB J TINSLEY SR. DDS

Dentist (General Practice)

43 E MILLS ST
COLUMBUS, NC 28722

Polk County (828) 894-8291

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 Shane Van Oostendorp's NPI number?

The NPI number for Shane Van Oostendorp is 1679125488. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Shane Van Oostendorp located?

Shane Van Oostendorp practices at 43 E Mills St, Columbus, NC 28722. The listed phone number is (828) 894-8291.

What is Shane Van Oostendorp's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Shane Van Oostendorp was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.