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

Dr. Lucas Kwangsu Shin, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467916478

Dr. Lucas Kwangsu Shin, DMD is a Student in an Organized Health Care Education/Training Program in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2300 Ramsey St
Fayetteville, NC 28301-3856
Phone: (910) 822-7029
Fax: (910) 482-5050
Show map & directions

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

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 11976 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467916478
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 23, 2019
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025

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