Provider Demographics
NPI:1407924665
Name:SHIM, EDWARD HYOSHIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:HYOSHIN
Last Name:SHIM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 S ARLINGTON HTS RD
Mailing Address - Street 2:STE 218
Mailing Address - City:ARLINGTON HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4144
Mailing Address - Country:US
Mailing Address - Phone:847-437-2535
Mailing Address - Fax:847-437-2545
Practice Address - Street 1:2010 S ARLINGTON HTS RD
Practice Address - Street 2:STE 218
Practice Address - City:ARLINGTON HTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4144
Practice Address - Country:US
Practice Address - Phone:847-437-2535
Practice Address - Fax:847-437-2545
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist