Shotwell, Jeffrey L

Shotwell, Jeffrey L is an individual health care provider with primary practice located at 1011 N University Ave , Ann Arbor MI 48109-1078. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Prosthodontics. Dental Providers / Dentist is his primary health care specialty. Shotwell, Jeffrey L can be contacted via phone (734) 763-3378.

Contact Information

Primary practice address
1011 N University Ave Ann Arbor MI 48109-1078
Phone: (734) 763-3378
Fax: (734) 763-3453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901010029 Michigan
Dental Providers / Prosthodontics 1223P0700X 2901010029 Michigan

Profile Details

NPI number 1740305036
LBN Legal business name Shotwell, Jeffrey L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1740305036 NPPES
Michigan Other D100290 BCBS OF MI DENTAL

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