Countryman, Shawn C

Countryman, Shawn C is an individual health care provider with primary practice located at 4102 Pinion Dr , Usaf Academy CO 80840-2502. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Oral and Maxillofacial Radiology is his primary health care specialty. Countryman, Shawn C can be contacted via phone (719) 335-9886.

Contact Information

Primary practice address
4102 Pinion Dr Usaf Academy CO 80840-2502
Phone: (719) 335-9886
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X N-9870 Idaho
Dental Providers / Oral and Maxillofacial Radiology 1223X0008X 00205167 Colorado
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 30418 Iowa
Dental Providers / Oral and Maxillofacial Radiology 1223X0008X N-9870 Idaho

Profile Details

NPI number 1801176136
LBN Legal business name Countryman, Shawn C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2011
Last updated Aug 17th, 2022 - about 2 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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