Malcolm Drew Shabo in Ooltewah - General Practice
Malcolm Drew Shabo - NPI 1790804367
Malcolm Drew Shabo is a General Practice in Ooltewah, Tennessee. Malcolm Drew Shabo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Malcolm Drew Shabo is 1790804367. The last update date is 2013-02-25.
Malcolm Drew Shabo's current location address is 5958 Snow Hill Rd, Ooltewah, Tennessee. You can contact this provider via phone number 4238944084 and fax number 4238944086. The mailing address for Malcolm Drew Shabo is 5958 Snow Hill Rd, Ooltewah, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Malcolm Drew Shabo |
|---|---|
| Address | 5958 Snow Hill Rd, Ooltewah, Tennessee |
| Phone Number | 4238944084 |
| Fax Number | 4238944086 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790804367 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2013-02-25 |
Provider Mailing Address Detail
| Address | 5958 Snow Hill Rd |
|---|---|
| City | Ooltewah |
| State | Tennessee (TN) |
| Post Code | 373637833 |
| Phone Number | 4238944084 |
| Fax Number | 4238944086 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7631 |
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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 Malcolm Drew Shabo's unique identification number?
The Malcolm Drew Shabo has been assigned the NPI (National Provider Identifier) Number 1790804367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Malcolm Drew Shabo?
The Malcolm Drew Shabo is physically situated at 5958 Snow Hill Rd, in the city of Ooltewah, state of TN, with the postal code 373637833.
What is the Malcolm Drew Shabo's specialty and taxonomy code?
The Malcolm Drew Shabo's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When was the Malcolm Drew Shabo's 1790804367 issued?
The Malcolm Drew Shabo's 1790804367 was issued on 2007-03-28.
When was the information related to Malcolm Drew Shabo most recently updated or refreshed?
The details pertaining to the Malcolm Drew Shabo, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-02-25.
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