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

Dr. Daniel Edward Shin, DDS

Individual provider Periodontics · NPI 1770716607

Dr. Daniel Edward Shin, DDS is a Periodontics in Indianapolis, Indiana. Graduated from Indiana University School of Dentistry in 2006, 20 years ago. Licensed in Indiana and New York.

Years since qualifying
20
Trained at
Indiana University School of Dentistry
Licensed in
IN, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1121 W Michigan Street DS307B
Indianapolis, IN 46202-5186
Phone: (317) 278-3632
Fax: (317) 274-2603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 12011064A (IN)
Periodontics Taxonomy 1223P0300X · Licence 052940 (NY)

Record details

NPI number1770716607
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 26, 2009
Last updated in NPPESNovember 15, 2016
Mailing address1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPERIODONTICS
Medical schoolINDIANA UNIVERSITY SCHOOL OF DENTISTRY
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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