Organization
SHIN PROSTHODONTICS LLC
Active
Other names
PEDG, PEDG Rockville MD LLC, Prostho Endo Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONGJIN SHIN DMD (OWNER)
(301) 377-8306
Entity
Organization
Contact information
Practice address
5904 HUBBARD DR, NORTH BETHESDA, MD 20852-4823
(301) 377-8306
(240) 387-6945
Mailing address
5904 HUBBARD DR, NORTH BETHESDA, MD 20852-4823
(301) 377-8306
(240) 387-6945
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/20/2021
Last updated
07/09/2026
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