Shawn T Engebretsen Dmd P A in Stuart - Oral And Maxillofacial Surgery
Shawn T Engebretsen Dmd P A - NPI 1225200173
Shawn T Engebretsen Dmd P A is a Oral And Maxillofacial Surgery in Stuart, Florida. Shawn T Engebretsen Dmd P A practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Shawn T Engebretsen Dmd P A is 1225200173. The last update date is 2010-04-08.
Shawn T Engebretsen Dmd P A's current location address is 1825 Nw Bright River Pt, Stuart, Florida. You can contact this provider via phone number 7726921194. The mailing address for Shawn T Engebretsen Dmd P A is 1825 Nw Bright River Pt, Stuart, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shawn T Engebretsen Dmd P A |
|---|---|
| Address | 1825 Nw Bright River Pt, Stuart, Florida |
| Phone Number | 7726921194 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Engebretsen T Shawn |
| Credentials | DMD PA |
| Telephone Number | 7722230600 |
NPI Number Detail
| NPI Number | 1225200173 |
|---|---|
| Provider Enumeration Date | 2008-04-01 |
| Last Updated Date | 2010-04-08 |
Provider Mailing Address Detail
| Address | 1825 Nw Bright River Pt |
|---|---|
| City | Stuart |
| State | Florida (FL) |
| Post Code | 349949407 |
| Phone Number | 7726921194 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DN0009427 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the Shawn T Engebretsen Dmd P A's 1225200173?
The Shawn T Engebretsen Dmd P A's NPI (National Provider Identifier) Number is 1225200173. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Shawn T Engebretsen Dmd P A is geographically located?
The Shawn T Engebretsen Dmd P A is physically situated at the following location: 1825 Nw Bright River Pt, Stuart, FL, 349949407.
What is the area of specialization for Shawn T Engebretsen Dmd P A, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shawn T Engebretsen Dmd P A is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225200173 to Shawn T Engebretsen Dmd P A?
The Centers for Medicare & Medicaid Services assigned the 1225200173 to Shawn T Engebretsen Dmd P A on 2008-04-01.
As of what date were the details related to Shawn T Engebretsen Dmd P A most recently updated or revised?
The information pertaining to Shawn T Engebretsen Dmd P A, including its address, specialty, and other relevant details, was last updated or revised on 2010-04-08.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL