Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104233998 Individual Practitioner Male Practitioner

Dr. Eui Sik Shin , DDS

Dentist - General Practice • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Dr. Eui Sik Shin, DDS is a registered healthcare professional specializing in Dentist - General Practice in Baltimore, MD. Practice services are available at 1900 N BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1900 N Broadway

Baltimore, MD 212131437

Telephone 4432412516
Associated Practice Facility / Clinic
🏢 Dr, David M. Vieth 2 Pc Facility NPI 1619138666

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
324 Specialists

Practicing in Baltimore, MD (2555 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

CMS Verified: 2022-07-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401417775

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License AZ 8982

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 30901

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AZ 8982

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MD 16102

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1144651 (MD)
Medicaid State Provider ID
349710901 (TX)
Medicaid State Provider ID
927285 (AZ)

Secondary Practice Locations

2316 S Zapata Hwy Ste 190

Laredo, TX 780466590

Phone: 9562840570

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Zakiya Scott , DDS

Dentist - General Practice

NPI 1386892990

Doctor of Dental Surgery

NPI 1649590100

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2022

Dentist (License #8982 in AZ)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2022

Dentist (License #30901 in TX)

📍
Updated Practice Location February 09, 2022

Registered at 1900 N BROADWAY, BALTIMORE, MD 212131437 (Tel: 4432412516)

📍
Updated Business Mailing Address February 09, 2022

Registered at 11045 NASHVILLE CT, ELLICOTT CITY, MD 210422485 (Tel: 3125051629)

NPI Profile Active April 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2016

Registered at 2316 S ZAPATA HWY STE 190, LAREDO, TX 780466590 (Tel: 9562840570)

📍
Updated Business Mailing Address April 29, 2016

Registered at 1515 PAPPAS ST, LAREDO, TX 780411705 (Tel: 9567958100)

👤
Provider Name / Credentials Updated April 29, 2016

Recorded as EUI SIK SHIN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2016

Dentist (License #8982 in AZ)

🟢
Initial NPI Registration & Enumeration July 14, 2014

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: 1104233998
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2014
Last Update: July 07, 2022
Sole Proprietor: No

Mailing Address

11045 Nashville Ct

Ellicott City, MD 210422485

Phone: 3125051629

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.