Mcclure, Shawn A

Mcclure, Shawn A is an sole proprietor health care provider with primary practice located at 3200 S University Dr Dept. Of Omfs, Davie FL 33328-2018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Mcclure, Shawn A can be contacted via phone (954) 262-7153.

Contact Information

Primary practice address
3200 S University Dr Dept. Of Omfs Davie FL 33328-2018
Phone: (954) 262-7153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X ME99010 Florida

Profile Details

NPI number 1649313925
LBN Legal business name Mcclure, Shawn A
Credentials DDS, MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Mar 28th, 2017 - about 7 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 1649313925 NPPES
Florida Other AF3407 MEDICARE
Florida MEDICAID 000935700 MEDICARE

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