# PATRICK J. SHINE, DMD, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shine Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114693793
- **Authorized official:** DR. PATRICK J SHINE DMD (DENTIST)
- **Authorized official phone:** (607) 221-8607

## Contact information

- **Practice address:** 607 BENSON RD STE A, GARNER, NC 27529-3988
- **Practice address phone:** (919) 772-7030
- **Practice address fax:** (919) 772-7810
- **Mailing address:** 607 BENSON RD STE A, GARNER, NC 27529-3988
- **Mailing address phone:** (919) 772-7030
- **Mailing address fax:** (919) 772-7810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2021
- **Last updated:** 09/30/2021