Bryan Wontaek Shin is a Fishers, Indiana based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Bryan Wontaek Shin is
12014784A for Pediatric Dentistry in Indiana. His current practice location is
13760 Lakeridge Dr, Fishers. Patients can reach him at
317-588-2575.
Bryan Wontaek Shin provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Bryan Wontaek Shin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Bryan Wontaek Shin |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 13760 Lakeridge Dr, Fishers, Indiana, 46037-7608 |
| Phone: | 317-588-2575 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1689362204 |
| NPI Enumeration Date: | 01 May, 2023 |
| NPI Last Update On: | 17 Jul, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bryan Wontaek Shin are as mentioned below.
| License Number | Specialization | State | Status | |
| 12014784A | Pediatric Dentistry | Indiana | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9723 Northfork Dr, Brentwood, Tennessee |
| Zip: | 37027-8334 |
| Phone Number: | 615-707-0330 |
Patients can reach Bryan Wontaek Shin at
13760 Lakeridge Dr, Fishers, Indiana or can
call to book an appointment on 317-588-2575.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.