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

Dr. Kiwon Kenneth Shin, DDS

Individual provider Dentist · NPI 1932367596

Dr. Kiwon Kenneth Shin, DDS is a Dentist in Greenvale, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
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

29 Northern Blvd
Greenvale, NY 11548-1320
Phone: (516) 625-2929
Fax: (516) 625-2558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 039926 (NY)

Record details

NPI number1932367596
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 29, 2008
Last updated in NPPESMay 29, 2008

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