Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588236673 Individual Practitioner Male Practitioner

Dr. Albert Shim , DDS

Dentist - General Practice • Roseburg, OR

Professional Overview & Biography Verified Profile Summary

Dr. Albert Shim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Roseburg, OR. Practice services are available at 2530 NW MEDICAL PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2530 Nw Medical Park Dr

Roseburg, OR 974715510

Telephone 5418371713
Associated Practice Facility / Clinic
🏢 American Dental L.l.c Facility NPI 1346538469

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Roseburg, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
38 Specialists

Practicing in Roseburg, OR (1994 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: 2023-01-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11729

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 OR D11729

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 UT 12363998-9922

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

2 Associated Practitioners
NPI 1083215859

Doctor of Dental Medicine

Samuel Coste

Dentist - General Practice

NPI 1851008791

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 10, 2023

Registered at 2530 NW MEDICAL PARK DR, ROSEBURG, OR 974715510 (Tel: 5418371713)

📍
Updated Business Mailing Address January 10, 2023

Registered at 2530 NW MEDICAL PARK DR, ROSEBURG, OR 974715510 (Tel: 5418371713)

📍
Updated Practice Location December 15, 2022

Registered at 1729 W HARVARD AVE STE 2, ROSEBURG, OR 974712795 (Tel: 4588027028)

📍
Updated Business Mailing Address December 15, 2022

Registered at 1729 W HARVARD AVE STE 2, ROSEBURG, OR 974712795 (Tel: 4588027028)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2022

Dentist (License #D11729 in OR)

NPI Profile Active July 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2021

Registered at 660 S 500 E, SALT LAKE CITY, UT 841023389 (Tel: 8019417508)

📍
Updated Business Mailing Address July 20, 2021

Registered at 660 S 500 E, SALT LAKE CITY, UT 841023389

👤
Provider Name / Credentials Updated July 20, 2021

Recorded as ALBERT SHIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2021

Dentist (License #12363998-9922 in UT)

🟢
Initial NPI Registration & Enumeration July 16, 2021

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: 1588236673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2021
Last Update: January 10, 2023
Sole Proprietor: Yes

Mailing Address

2530 Nw Medical Park Dr

Roseburg, OR 974715510

Phone: 5418371713

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.