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
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 22DI02329900 (NJ) |
| Periodontics Primary | 1223P0300X | 057009 (NJ) |
| Dentist | 122300000X | 9363084 (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.
3 other providers at this address
Other periodontics providers in Bayonne
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.