Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN WONTAEK SHIN
ActiveBRYAN WONTAEK SHIN is a Pediatric Dentistry healthcare provider located in FISHERS, Indiana. NPI 1689362204 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FISHERS, IN
Registration Details
- NPI Number
- 1689362204
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2023 (3.3315902989954 yrs)
- Last Updated
- Jul 17, 2025
- License
-
12014784A (IN)
Practice Information
- Address
-
13760 LAKERIDGE DRFISHERS, IN, 460377608Browse IN providers · Browse ZIP 46037
- Phone
- 3175882575
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in FISHERS, IN
| Name | Credential | NPI |
|---|---|---|
| DR. MICHELLE HALUM EDWARDS | DDS, MSD | 1811031040 |
| DR. JENNIFER KUGAR | DDS, MSD | 1134245186 |
| ANA H VAZQUEZ | — | 1477753473 |
| DR. STEPHANIE KIM-ALBADAWI | D.M.D., M.S.D. | 1942615364 |
| NAHEED AHMAD | — | 1609306752 |
| REBECCA RENEE RAFLA | DMD | 1194219568 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.