Cestari, Shannon Coyle

Cestari, Shannon Coyle is an sole proprietor health care provider with primary practice located at 1000 N Fielder Rd , Arlington TX 76012-3149. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Cestari, Shannon Coyle can be contacted via phone (817) 261-3100.

Contact Information

Primary practice address
1000 N Fielder Rd Arlington TX 76012-3149
Fax: (817) 303-3715
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 21295 Texas

Profile Details

NPI number 1104029883
LBN Legal business name Cestari, Shannon Coyle
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2007
Last updated Nov 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104029883 NPPES
Texas MEDICAID 1901290

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