Dr. Edwin Kent Shirley

LBN: Dr. Edwin Kent Shirley
Dr. Edwin Kent Shirley is an health care organization with primary practice located at 1231 27Th St S Ste B, Fargo ND 58103-8722. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dr. Edwin Kent Shirley can be contacted via phone (701) 235-8402, or through Shirley, Edwin Kent via phone (701) 235-8402.

Contact Information

Primary practice address
1231 27Th St S Ste B Fargo ND 58103-8722
Phone: (701) 235-8402
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shirley, Edwin Kent Doctor of Dental Surgery (DDS)
Phone: (701) 235-8402

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1596 North Dakota

Profile Details

NPI number 1447661186
LBN Legal business name Dr. Edwin Kent Shirley
DBA Doing business as
Authorized official Shirley, Edwin Kent Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2014
Last updated May 15th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447661186 NPPES
North Dakota MEDICAID 132811

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