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

Israel Shimunov, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003375759

Israel Shimunov, DDS is a Student in an Organized Health Care Education/Training Program in Rego Park, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
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

9815 65th Rd Apt 1B
Rego Park, NY 11374-3505
Phone: (347) 247-6810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 06136301 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003375759
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 12, 2019
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

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