Travis Shearer is a Dentist in West Plains, Missouri. Travis Shearer practices all healthcare services and medical treatments related to Dentist. The NPI Number for Travis Shearer is 1396721882. The last update date is 2016-12-01.
Travis Shearer's current location address is 1115 Independence Dr, West Plains, Missouri. You can contact this provider via phone number 4172558464 and fax number 4172559741. The mailing address for Travis Shearer is 1115 Independence Dr, West Plains, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis Shearer |
|---|---|
| Address | 1115 Independence Dr, West Plains, Missouri |
| Phone Number | 4172558464 |
| Fax Number | 4172559741 |
| Sole Proprietor | X |
| Credentials | DENTIST |
NPI Number Detail
| NPI Number | 1396721882 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2016-12-01 |
Provider Mailing Address Detail
| Address | 1115 Independence Dr |
|---|---|
| City | West Plains |
| State | Missouri (MO) |
| Post Code | 657754221 |
| Phone Number | 4172558464 |
| Fax Number | 4172559741 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2004018069 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 406090704 (GROU | MO | -- |
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What is the unique 10-digit identification code issued to Travis Shearer by the Centers for Medicare & Medicaid Services?
The Travis Shearer has been assigned the NPI (National Provider Identifier) 1396721882 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Travis Shearer located?
The Travis Shearer is located at 1115 Independence Dr, West Plains, MO 657754221.
What is Travis Shearer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Travis Shearer is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396721882 to Travis Shearer?
The Travis Shearer received its 1396721882 assignment from the Centers for Medicare & Medicaid Services on 2005-12-16.
As of what date were the Travis Shearer's details last updated?
The information pertaining to the Travis Shearer, including its address, specialty, and other details, was most recently updated on 2016-12-01.