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

Dr. Sang Y Shin, DMD

Individual provider Endodontics · NPI 1205967171

Dr. Sang Y Shin, DMD is an Endodontics in Maitland, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1778 N Park Ave Ste 100
Maitland, FL 32751-6504
Phone: (407) 647-2131
Fax: (407) 645-5161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 15891 (FL)

Record details

NPI number1205967171
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

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