Burns, Shane Bloom

Burns, Shane Bloom is an individual health care provider with primary practice located at 3500 Gaston Ave , Dallas TX 75246-2017. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Burns, Shane Bloom can be contacted via phone (214) 820-2361.

Contact Information

Primary practice address
3500 Gaston Ave Dallas TX 75246-2017
Phone: (214) 820-2361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X ETN844 Texas

Profile Details

NPI number 1316520505
LBN Legal business name Burns, Shane Bloom
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2021
Last updated Jun 25th, 2021 - about 3 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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