Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912990839 Individual Practitioner Male Practitioner

Dr. Igor Shishkin , DDS

Dentist • Grants Pass, OR

Professional Overview & Biography Verified Profile Summary

Dr. Igor Shishkin, DDS is a registered healthcare professional specializing in Dentist in Grants Pass, OR. Practice services are available at 934 NE 8TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

934 Ne 8th St

Grants Pass, OR 975261641

Telephone 5414717062
Fax 5414718539
Associated Practice Facility / Clinic
🏢 Dental Vision Pc Facility NPI 1376581587

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Grants Pass, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
29 Specialists

Practicing in Grants Pass, OR (1289 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D6927

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
122676 (OR)
Commercial Insurance / Payer ID United Concordia
661711 (OR)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Andrea Kasiah

Dental Hygienist

NPI 1588674485

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 934 NE 8TH ST, GRANTS PASS, OR 975261641 (Tel: 5414717062)

📍
Updated Business Mailing Address July 09, 2007

Registered at 934 NE 8TH ST, GRANTS PASS, OR 975261641 (Tel: 5414717062)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as IGOR SHISHKIN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #D6927 in OR)

🟢
Initial NPI Registration & Enumeration August 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Igor Shishkin. Be the first to share your experience!

Sign in to leave a review for Dr. Igor Shishkin

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1912990839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

934 Ne 8th St

Grants Pass, OR 975261641

Phone: 5414717062

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.