Shannon R Egleston in St Petersburg - General Practice
Shannon R Egleston - NPI 1285646646
Shannon R Egleston is a General Practice in St Petersburg, Florida. Shannon R Egleston practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shannon R Egleston is 1285646646. The last update date is 2007-07-08.
Shannon R Egleston's current location address is 7300 4th St N, St Petersburg, Florida. You can contact this provider via phone number 7275211818 and fax number 7275253686. The mailing address for Shannon R Egleston is 7300 4th St N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon R Egleston |
|---|---|
| Address | 7300 4th St N, St Petersburg, Florida |
| Phone Number | 7275211818 |
| Fax Number | 7275253686 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1285646646 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7300 4th St N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337025924 |
| Phone Number | 7275211818 |
| Fax Number | 7275253686 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN 17421 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Shannon R Egleston by the Centers for Medicare & Medicaid Services?
The Shannon R Egleston has been assigned the NPI (National Provider Identifier) 1285646646. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shannon R Egleston's physical address?
The Shannon R Egleston is physically located at 7300 4Th St N, in the city of St Petersburg, FL, with the postal code 337025924.
What is Shannon R Egleston'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 Shannon R Egleston is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285646646 to Shannon R Egleston?
The Shannon R Egleston received its 1285646646 assignment from the Centers for Medicare & Medicaid Services on 2006-08-13.
When was the information regarding Shannon R Egleston most recently updated?
The details pertaining to the Shannon R Egleston, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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