Shamp, Douglas George

Shamp, Douglas George is an individual health care provider with primary practice located at 7270 Forestview Ln N #250, Maple Grove MN 55369-5546. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shamp, Douglas George can be contacted via phone (763) 424-9202.

Contact Information

Primary practice address
7270 Forestview Ln N #250 Maple Grove MN 55369-5546
Fax: (763) 424-9399
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9126 Minnesota

Profile Details

NPI number 1457349599
LBN Legal business name Shamp, Douglas George
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 17 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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