Active NPI 1528116712 Individual Practitioner Female Practitioner

Dr. Jaehee L Shim , DDS

Dentist - General Practice • Belleville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jaehee Shim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Belleville, IL. Practice services are available at 1600 LEBANON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 Lebanon Ave
Suite 104

Belleville, IL 622212491

Telephone 6182396151

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Belleville, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

23 Specialists

Practicing in Belleville, IL (5581 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 19A-15414

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Nai Shu , MD

General Practice

NPI 1073522249

Doctor of Medicine (M.D.)

Melissa Wickes , MA, LCPC

Marriage & Family Therapist

NPI 1437599149

Master of Arts, Licensed Clinical Professional Counselor

Dean Harris , LMT

Massage Therapist

NPI 1891819884

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1600 LEBANON AVE, SUITE 104, BELLEVILLE, IL 622212491 (Tel: 6182396151)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1600 LEBANON AVE, SUITE 104, BELLEVILLE, IL 622212491 (Tel: 6182396151)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAEHEE SHIM, D.D.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19A-15414 in IL)

🟢

Initial NPI Registration & Enumeration January 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528116712

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 06, 2007

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1600 Lebanon Ave, Suite 104

Belleville, IL 622212491

Phone: 6182396151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.