STEPHANIE SUHYOUNG SHIN (NPI# 1649646084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649646084 |
| Entity Type | Individual |
| Full Name | STEPHANIE SUHYOUNG SHIN |
| Credential | DDS, MS |
| Practice Address |
1303 Packard St Ste 301 Ann Arbor MI 48104-3874 |
| Practice Telephone | 7346621591 |
| Practice Fax Number | 7346621599 |
| Mailing Telephone | 7346621591 |
| Mailing Fax Number | 7346621599 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
2901021314 | MI | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2901021314 | MI | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1011 N University Ave, Ann Arbor, MI 481091078 | 7347641523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174090088 | Stephanie Shin | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2018-10-29 |
| 1992159792 | Stephanie Shin | Student in an Organized Health Care Education/Training Program | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2016-04-18 |
| 1023317286 | Stephanie Shin | Internal Medicine | 320 Santa Fe Dr Ste 107-c, Encinitas, CA 92024-5138 | 2011-03-26 |
| Street Address |
1303 PACKARD ST STE 301 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-3874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699894576 | Raymond Anthony Maturo | Dentist | 2074 S Main St, Ann Arbor, MI 48103-6962 | 2007-03-29 |
| 1982685590 | Kay Louise Wilson | Dentist | 1303 Packard St, Suite #301, Ann Arbor, MI 48104-3874 | 2005-11-10 |
| 1144768904 | Rosemary K Tran | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2017-02-01 |
| 1114300811 | Ann Arbor Pediatric Dentistry Pllc | Dentist | 2074 S Main St, Ann Arbor, MI 48103-6962 | 2015-06-30 |
| 1043608003 | Tree Town Pediatric Dentistry Pllc | Dentist | 1303 Packard St, Suite #301, Ann Arbor, MI 48104-3874 | 2014-12-29 |
| 1427461383 | Heather Marie Hoffman | Dentist | 1795 W Stadium Blvd, Ann Arbor, MI 48103-5290 | 2014-06-09 |
| 1780006965 | Max Louis Auer | Dentist | 2074 S Main St, Ann Arbor, MI 48103-5827 | 2014-01-07 |
| 1730520214 | Harneet Grewal | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2013-07-11 |
| 1306289137 | Hiba Kattan | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2013-04-11 |
| 1669781407 | Youngjoo Elaine Kim | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2010-09-28 |
| Find all providers in ANN ARBOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.