Shaman, Paul Richard

Shaman, Paul Richard is an sole proprietor health care provider with primary practice located at 9674 South Run Oaks Dr. , Fairfax Station VA 22039-2629. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Shaman, Paul Richard can be contacted via phone (703) 643-3041.

Contact Information

Primary practice address
9674 South Run Oaks Dr. Fairfax Station VA 22039-2629
Phone: (703) 643-3041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN12279 Massachusetts
Dental Providers / Periodontics 1223P0300X 6663 Maryland

Profile Details

NPI number 1689987844
LBN Legal business name Shaman, Paul Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2010
Last updated Jul 16th, 2010 - about 14 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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