Shay Brannan Mushet in San Diego - Pediatric Dentistry
Shay Brannan Mushet - NPI 1174517486
Shay Brannan Mushet is a Pediatric Dentistry in San Diego, California. Shay Brannan Mushet practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Shay Brannan Mushet is 1174517486. The last update date is 2021-09-09.
Shay Brannan Mushet's current location address is 7930 Frost St, San Diego, California. You can contact this provider via phone number 8584929977 and fax number 8584929910. The mailing address for Shay Brannan Mushet is 7930 Frost St, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shay Brannan Mushet |
|---|---|
| Address | 7930 Frost St, San Diego, California |
| Phone Number | 8584929977 |
| Fax Number | 8584929910 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1174517486 |
|---|---|
| Provider Enumeration Date | 2005-09-01 |
| Last Updated Date | 2021-09-09 |
Provider Mailing Address Detail
| Address | 7930 Frost St |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921232737 |
| Phone Number | 8584929977 |
| Fax Number | 8584929910 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 53053 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2094762 | CT | -- |
Post Comment/ Review Below
Can you provide the Shay Brannan Mushet's physical address?
The Shay Brannan Mushet is physically located at 7930 Frost St, in the city of San Diego, CA, with the postal code 921232737.
What is the Shay Brannan Mushet's area of specialization and corresponding taxonomy classification?
The Shay Brannan Mushet's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
What is Shay Brannan Mushet's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shay Brannan Mushet is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Shay Brannan Mushet receive its 1174517486 assignment from the Centers for Medicare & Medicaid Services?
The Shay Brannan Mushet was assigned its 1174517486 by the Centers for Medicare & Medicaid Services on 2005-09-01.
As of what date were the details related to Shay Brannan Mushet most recently updated or revised?
The information pertaining to Shay Brannan Mushet, including its address, specialty, and other relevant details, was last updated or revised on 2021-09-09.