Colleen C. Shull in Aberdeen Proving Gro - Endodontics
Colleen C. Shull - NPI 1154330082
Colleen C. Shull is a Endodontics in Aberdeen Proving Gro, Maryland. Colleen C. Shull practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Colleen C. Shull is 1154330082. The last update date is 2007-07-08.
Colleen C. Shull's current location address is 35 Spesutie Island Rd, Aberdeen Proving Gro, Maryland. You can contact this provider via phone number 7036224608. The mailing address for Colleen C. Shull is 35 Spesutie Island Rd, Aberdeen Proving Gro, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colleen C. Shull |
|---|---|
| Address | 35 Spesutie Island Rd, Aberdeen Proving Gro, Maryland |
| Phone Number | 7036224608 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1154330082 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 35 Spesutie Island Rd |
|---|---|
| City | Aberdeen Proving Gro |
| State | Maryland (MD) |
| Post Code | 210051413 |
| Phone Number | 7036224608 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | DS026397L |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique identification code assigned to Colleen C. Shull by the Centers for Medicare & Medicaid Services?
The Colleen C. Shull has been issued the NPI (National Provider Identifier) 1154330082. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Colleen C. Shull is geographically located?
The Colleen C. Shull is physically situated at the following location: 35 Spesutie Island Rd, Aberdeen Proving Gro, MD, 210051413.
What is Colleen C. Shull'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 Colleen C. Shull is Endodontics, and the taxonomy classification code that categorizes this area of expertise is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154330082 to Colleen C. Shull?
The Centers for Medicare & Medicaid Services originally issued the 1154330082 to Colleen C. Shull on 2006-08-07.
As of what date were the Colleen C. Shull's details last updated?
The information pertaining to the Colleen C. Shull, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1376546309
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