# LINDENHURST STATION DENTAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467962803
- **Authorized official:** DR. SEAN SHIN KIM DDS (OWNER)
- **Authorized official phone:** (631) 226-1155

## Contact information

- **Practice address:** 152 N WELLWOOD AVE STE 6, LINDENHURST, NY 11757-4002
- **Practice address phone:** (631) 226-1155
- **Mailing address:** 152 N WELLWOOD AVE STE 6, LINDENHURST, NY 11757-4002
- **Mailing address phone:** (631) 226-1155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 056133 | NY | Yes |

## Other

- **Enumeration date:** 10/11/2017
- **Last updated:** 10/11/2017