Shadburne, Jonathan David

Shadburne, Jonathan David is an individual health care provider with primary practice located at 124 Goodview Way Ste B , Gallatin TN 37066-4927. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Shadburne, Jonathan David can be contacted via phone (615) 575-3344.

Contact Information

Primary practice address
124 Goodview Way Ste B Gallatin TN 37066-4927
Phone: (615) 575-3344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30.025658 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 11282 Tennessee

Profile Details

NPI number 1861981979
LBN Legal business name Shadburne, Jonathan David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2018
Last updated Nov 15th, 2023 - about last year

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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