Burress, Shanna
Burress, Shanna is an individual health care provider with primary practice located at 1109 State St , Bowling Green KY 42101-2648. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Burress, Shanna can be contacted via phone (270) 781-8039.Contact Information
Primary practice address
1109 State St
Bowling Green KY 42101-2648
Phone: (270) 781-8039
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8843 | Kentucky |
Profile Details
| NPI number | 1336336098 |
|---|---|
| LBN Legal business name | Burress, Shanna |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Mar 7th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336336098 | NPPES |
| Kentucky | MEDICAID | 7100147050 |
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