Blacker, Shane Kyle
Blacker, Shane Kyle is an sole proprietor health care provider with primary practice located at 6200 S Mcclintock Dr Ste 11 , Tempe AZ 85283-3268. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Blacker, Shane Kyle can be contacted via phone (480) 839-6262.Contact Information
Primary practice address
6200 S Mcclintock Dr Ste 11
Tempe AZ 85283-3268
Phone: (480) 839-6262
Fax: (480) 839-1029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 6210 | Arizona |
Profile Details
| NPI number | 1184892473 |
|---|---|
| LBN Legal business name | Blacker, Shane Kyle |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2008 |
| Last updated | Feb 20th, 2008 - about 16 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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