Individual provider · Type 1 NPI

Bryan Wontaek Shin

Pediatric Dentistry · Fishers, IN

NPI number 1689362204 Active

Practice location

13760 Lakeridge Dr
Fishers, IN 46037-7608

Call (317) 588-2575 Map

Mailing address

9723 Northfork Dr
Brentwood, TN 37027-8334

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X12014784A (IN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3 other providers at this address

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About NPI 1689362204

Bryan Wontaek Shin's National Provider Identifier is 1689362204, issued on May 1, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fishers, IN. The record was last updated on Jul 17, 2025.