Melvin Lee Shanley in San Antonio - General Practice
Melvin Lee Shanley - NPI 1679515357
Melvin Lee Shanley is a General Practice in San Antonio, Texas. Melvin Lee Shanley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Melvin Lee Shanley is 1679515357. The last update date is 2012-04-30.
Melvin Lee Shanley's current location address is 4315 Moonlight Way, San Antonio, Texas. You can contact this provider via phone number 2106977377 and fax number 2106977319. The mailing address for Melvin Lee Shanley is 4315 Moonlight Way, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melvin Lee Shanley |
|---|---|
| Address | 4315 Moonlight Way, San Antonio, Texas |
| Phone Number | 2106977377 |
| Fax Number | 2106977319 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1679515357 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2012-04-30 |
Provider Mailing Address Detail
| Address | 4315 Moonlight Way |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782301688 |
| Phone Number | 2106977377 |
| Fax Number | 2106977319 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | TX15668 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8956701 | TX | -- |
Post Comment/ Review Below
Could you provide the complete address where Melvin Lee Shanley is physically located?
The Melvin Lee Shanley is situated at the following address: 4315 Moonlight Way, San Antonio, TX 782301688.
What is Melvin Lee Shanley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Melvin Lee Shanley is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date was the 1679515357 assigned to Melvin Lee Shanley?
The Melvin Lee Shanley was issued its 1679515357 on 2006-06-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Melvin Lee Shanley receive the assignment of its 1679515357 from the Centers for Medicare & Medicaid Services?
The Melvin Lee Shanley was issued its 1679515357 by the Centers for Medicare & Medicaid Services on 2006-06-10.
When was the information regarding Melvin Lee Shanley most recently updated?
The details pertaining to the Melvin Lee Shanley, including its address, specialty, and other relevant information, were last refreshed on 2012-04-30.