Shin, Debra Hsu

Shin, Debra Hsu is an individual health care provider with primary practice located at 4701 Randolph Rd Ste 108 , Rockville MD 20852-2260. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Shin, Debra Hsu can be contacted via phone (301) 770-7770.

Contact Information

Primary practice address
4701 Randolph Rd Ste 108 Rockville MD 20852-2260
Fax: (301) 770-7776
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 15637 Maryland

Profile Details

NPI number 1740338979
LBN Legal business name Shin, Debra Hsu
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1740338979 NPPES
Maryland MEDICAID 085247300
Maryland MEDICAID 066842300

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