Bagby, Shan K
Bagby, Shan K is an individual health care provider with primary practice located at 450 Gibner Road Suite 2 , Carlise Barracks PA 17013. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bagby, Shan K can be contacted via phone (571) 231-5383.Contact Information
Primary practice address
450 Gibner Road Suite 2
Carlise Barracks PA 17013
Phone: (571) 231-5383
Fax: (502) 624-2966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 20428 | Texas |
Profile Details
| NPI number | 1558317784 |
|---|---|
| LBN Legal business name | Bagby, Shan K |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jun 30th, 2014 - about 10 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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