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
Phone: (817) 261-3100
Fax: (817) 303-3715
Website:
Health care specialties
Specialty | Code | License # | 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 4 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 | 1104029883 | NPPES |
Texas | MEDICAID | 1901290 |
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