Shin, Bryan Wontaek
Shin, Bryan Wontaek is an individual health care provider with primary practice located at 13760 Lakeridge Dr , Fishers IN 46037-7608. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Shin, Bryan Wontaek can be contacted via phone (317) 588-2575.Contact Information
Primary practice address
13760 Lakeridge Dr
Fishers IN 46037-7608
Phone: (317) 588-2575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 12014784A | Indiana |
Profile Details
| NPI number | 1689362204 |
|---|---|
| LBN Legal business name | Shin, Bryan Wontaek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2023 |
| Last updated | Jul 17th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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