Individual provider · Type 1 NPI

Eunjung Shim, DMD, MDS

Periodontics · Bayonne, NJ

NPI number 1104930056 Active

Practice location

654 Avenue C Ste 202
Bayonne, NJ 07002-3899

Mailing address

127 Munsey Rd
Emerson, NJ 07630-1513

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X22DI02329900 (NJ)
Periodontics Primary 1223P0300X057009 (NJ)
Dentist 122300000X9363084 (NY)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1104930056

Eunjung Shim, DMD, MDS's National Provider Identifier is 1104930056, issued on Aug 18, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Bayonne, NJ. The record was last updated on Oct 5, 2016.