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Family Dentistry of Dr Jessica Shin, Pllc

Dentist in Queensbury, NY · enumerated 2011 · authorized official Jungwon Shin, Owner/Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346529484

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Registry record

Entity type Organization (Type 2)
Legal business name Family Dentistry of Dr Jessica Shin, Pllc
Practice address 365 Aviation Rd, Queensbury, NY, 12804
Fax (518) 745-6854
Enumeration date Aug 8, 2011
Last updated in NPPES Mar 10, 2016

Taxonomy & classification

122300000X Dentist Dental Providers · License 49328 (NY) Primary

Authorized official

Name Jungwon Shin
Title Owner/Dentist

Other identifiers

Identifier Type State Issuer
1922122498 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Family Dentistry of Dr Jessica Shin, Pllc?
Family Dentistry of Dr Jessica Shin, Pllc is registered in NPPES as a Dentist (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-10.