DR. SANG Y SHIN (DMD) – Endodontics, NPI 1205967171

DR. SANG Y SHIN (DMD) is a healthcare provider. based in Maitland, Florida. specializing in Endodontics. They hold the professional credentials DMD. They hold a License No. 15891 (FL). The NPI Number for DR. SANG Y SHIN (DMD) is 1205967171

Main info

Male
Name
DR. SANG Y SHIN (DMD)
NPI
1205967171
Phone
(407) 647-2131
Address
1778 N PARK AVE STE 100
Enumeration Date
9 March 2007
Last Update Date
21 June 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. SANG Y SHIN (DMD)

  • 1778 N PARK AVE STE 100

    MAITLAND, FL 327516504

    Phone: (407) 647-2131

    Fax: (407) 645-5161

    Type: Mailing

  • 1501 PRESIDENTIAL WAY

    STE #7

    WEST PALM BEACH, FL 334011800

    Phone: (561) 684-1312

    Fax: (561) 684-0182

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $2,797.

Total Amount is formed as General ($2,797) + Research ($0) + Ownership ($0) = $2,797.

Last reported payment date: 2023-10-27 • Largest payer in this snapshot: BIOLASE, INC. ($2,797).

Total Amount

$2,797

General + Research + Ownership

Payments

1

Total payment records

General Amount

$2,797

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
BIOLASE, INC.$2,797
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32751)

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Reviews

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Frequently asked questions

What identifier follows DR. SANG Y SHIN (DMD) across health systems?
The NPI 1205967171 uniquely identifies DR. SANG Y SHIN (DMD) in U.S. healthcare data.
Should I treat DR. SANG Y SHIN (DMD) as an active provider?
Patients and plans typically see DR. SANG Y SHIN (DMD) as active in the national extract.
Which specialty label fits DR. SANG Y SHIN (DMD)?
NPPES ties DR. SANG Y SHIN (DMD) to Endodontics in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. SANG Y SHIN (DMD)?
DR. SANG Y SHIN (DMD) shows a connection to Maitland, Florida in registry-derived data.
Can I export DR. SANG Y SHIN (DMD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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