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Active NPI 1023592490 Individual Practitioner Male Practitioner

Dr. Bryan Iksu Shin , DDS

Dentist - General Practice • Everett, WA

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Shin, DDS is a registered healthcare professional specializing in Dentist - General Practice in Everett, WA. Practice services are available at 927 128TH ST SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

927 128th St Sw

Everett, WA 982046315

Telephone 4252906967
Associated Practice Facility / Clinic
🏢 Everett Spine & Rehab, Pllc Facility NPI 1295884781

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
83 Specialists

Practicing in Everett, WA (3345 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: 2022-06-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE61103820

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 OH 30.025406

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 1114248127

Doctor of Dental Medicine

NPI 1992871701

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 22, 2022

Registered at 927 128TH ST SW, EVERETT, WA 982046315 (Tel: 4252906967)

📍
Updated Business Mailing Address June 22, 2022

Registered at 12721 192ND PL E, BONNEY LAKE, WA 983918362 (Tel: 6143641695)

NPI Profile Active September 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2018

Registered at 341 GRAFF RD SE, NEW PHILADELPHIA, OH 446633889 (Tel: 3305102317)

📍
Updated Business Mailing Address September 20, 2018

Registered at 4161 BRADHURST DR, DUBLIN, OH 430166166 (Tel: 6143641695)

👤
Provider Name / Credentials Updated September 20, 2018

Recorded as BRYAN SHIN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2018

Dentist (License #30.025406 in OH)

🟢
Initial NPI Registration & Enumeration September 20, 2018

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: 1023592490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2018
Last Update: June 22, 2022
Sole Proprietor: No

Mailing Address

12721 192nd Pl E

Bonney Lake, WA 983918362

Phone: 6143641695

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.