Shane, David Justin

Shane, David Justin is an individual health care provider with primary practice located at 72 S River Rd , Bedford NH 03110-6759. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shane, David Justin can be contacted via phone (603) 624-3900.

Contact Information

Primary practice address
72 S River Rd Bedford NH 03110-6759
Phone: (603) 624-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3873 New Hampshire

Profile Details

NPI number 1689959819
LBN Legal business name Shane, David Justin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2011
Last updated Oct 19th, 2011 - 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.

Request for update

Popular Providers