P Praxis·MD
● Active Type 1 · Individual

Laurel Mira Shin, DMD

Dentist·Dallas, TX· NPI 1457876963 · Enumerated 2017 · 8 years on NPI
Shin is 1 of 138 dentist providers in Dallas and 1 of 1850 in Texas.
NPI age
8 years
Enumerated 2017-08-04
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1850 active dentist providers in Texas.

NPI age
8 years
↓ 7 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-08Enumerated in NPPES
2017 2026

Where they practice

Practice location
2702 S Buckner Blvd Ste 120
Dallas, TX 752276700
📞 4693996664
Mailing address
6050 N Central Expy Apt 1410
Dallas, TX 752065395
📞 7029040480

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    TX license #36839 taxonomy 1223X0400X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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