Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Family Dentistry of Dr Jessica Shin, PLLC

Organization Dentist · NPI 1376906156

Family Dentistry of Dr Jessica Shin, PLLC provides Dentist services in Queensbury, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

365 Aviation Rd
Queensbury, NY 12804-2915 Not confirmed with CMS for 10 years — call before visiting
Phone: (518) 798-5696
Fax: (518) 745-6854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 49328 (NY)

Record details

NPI number1376906156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jungwon Shin — Owner/Dentist · (518) 798-5696
NPI enumeratedMarch 30, 2016
Last updated in NPPESMarch 30, 2016
Mailing address365 Aviation Rd, Queensbury, NY 12804-2915

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