IndividualActive
Kyungsup Shin, DMD
NPI 1023446853 · Orthodontics and Dentofacial Orthopedics Dentistry · Iowa City, IA
Provider details
- NPI number
- 1023446853
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 40155 (IA)
Specialties & taxonomies
Dental Providers
Practice location
219 Dental Science Bldg S
Iowa City, IA 52242-1001
Phone: (319) 335-7287
Approximate (ZIP-level) locationGet directions
Mailing address
322 Dental Science Bldg S
Iowa City, IA 52242-1001
Registry dates
- Enumerated
- 2013-10-14
- Last updated
- 2015-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.