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Family Dentistry of Dr Jessica Shin, Pllc

Dentist in Queensbury, NY · enumerated 2016 · authorized official Jungwon Shin, Owner/Dentist.

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

National Provider Identifier

1376906156

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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
Phone (518) 798-5696
Fax (518) 745-6854
Enumeration date Mar 30, 2016
Last updated in NPPES Mar 30, 2016

Taxonomy & classification

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

Authorized official

Name Jungwon Shin
Title Owner/Dentist
Phone (518) 798-5696

Other identifiers

Identifier Type State Issuer
02408799 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 the NPI number for Family Dentistry of Dr Jessica Shin, Pllc?
The NPI for Family Dentistry of Dr Jessica Shin, Pllc is 1376906156, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Family Dentistry of Dr Jessica Shin, Pllc?
NPPES lists Jungwon Shin (Owner/Dentist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-30.