| Scot Shadid Dds | |
|
3 E Macarthur St Shawnee OK 74804-2141 | |
| (405) 275-4581 | |
| Not Available |
| Full Name | Scot Shadid Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3 E Macarthur St, Shawnee, Oklahoma |
| Authorized Official Name and Position | Scot Shadid (OWNER) |
| Authorized Official Contact | 4052754581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scot Shadid Dds 3 E Macarthur St Shawnee OK 74804-2141 Ph: (405) 275-4581 | Scot Shadid Dds 3 E Macarthur St Shawnee OK 74804-2141 Ph: (405) 275-4581 |
| NPI Number | 1447441373 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447441373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4631 (Oklahoma) | Primary |
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