Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Wontaek Shin

Individual provider Pediatric Dentistry · NPI 1689362204

Bryan Wontaek Shin is a Pediatric Dentistry in Fishers, Indiana. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023

Practice location Address checks out

13760 Lakeridge Dr
Fishers, IN 46037-7608
Phone: (317) 588-2575
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 12014784A (IN)

Record details

NPI number1689362204
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address9723 Northfork Dr, Brentwood, TN 37027-8334

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