Shan K Bagby in Fort Beloir - Oral And Maxillofacial Surgery

Shan K Bagby - NPI 1558317784

Shan K Bagby is a Oral And Maxillofacial Surgery in Fort Beloir, Virginia. Shan K Bagby practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Shan K Bagby is 1558317784. The last update date is 2014-06-30.

Shan K Bagby's current location address is 9275 Doerr Rd, Bldg 1221 Ste 140, Fort Beloir, Virginia. You can contact this provider via phone number 5712315383 and fax number 5026242966. The mailing address for Shan K Bagby is 9275 Doerr Rd, Bldg 1221 Ste 140, Fort Beloir, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Shan K Bagby
Address 9275 Doerr Rd, Bldg 1221 Ste 140, Fort Beloir, Virginia
Phone Number 5712315383
Fax Number 5026242966
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1558317784
Provider Enumeration Date 2006-05-26
Last Updated Date 2014-06-30

Provider Mailing Address Detail

Address 9275 Doerr Rd, Bldg 1221 Ste 140
City Fort Beloir
State Virginia (VA)
Post Code 220602205
Phone Number 5712315383
Fax Number 5026242966

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 20428
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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FAQs about Shan K Bagby

What is the unique identifier code issued to Shan K Bagby by the Centers for Medicare & Medicaid Services (CMS)?

The Shan K Bagby has been assigned the NPI (National Provider Identifier) 1558317784. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Shan K Bagby?

The Shan K Bagby is physically situated at 9275 Doerr Rd, Bldg 1221 Ste 140, in the city of Fort Beloir, state of VA, with the postal code 220602205.

What is Shan K Bagby'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 Shan K Bagby is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.

On what date did the Centers for Medicare & Medicaid Services assign the 1558317784 to Shan K Bagby?

The Centers for Medicare & Medicaid Services assigned the 1558317784 to Shan K Bagby on 2006-05-26.

As of what date was the information pertaining to Shan K Bagby, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shan K Bagby, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-30.

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