Gregory S Shanbour in Oklahoma City - Periodontics
Gregory S Shanbour - NPI 1811999618
Gregory S Shanbour is a Periodontics in Oklahoma City, Oklahoma. Gregory S Shanbour practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Gregory S Shanbour is 1811999618. The last update date is 2007-07-08.
Gregory S Shanbour's current location address is 8117 S Walker Ave, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056342239 and fax number 4056343598. The mailing address for Gregory S Shanbour is 8117 S Walker Ave, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory S Shanbour |
|---|---|
| Address | 8117 S Walker Ave, Oklahoma City, Oklahoma |
| Phone Number | 4056342239 |
| Fax Number | 4056343598 |
| Sole Proprietor | X |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1811999618 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8117 S Walker Ave |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731399476 |
| Phone Number | 4056342239 |
| Fax Number | 4056343598 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 4585 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4585 | OK | STATE DENTAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory S Shanbour by the Centers for Medicare & Medicaid Services?
The Gregory S Shanbour has been assigned the NPI (National Provider Identifier) 1811999618. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gregory S Shanbour's facilities are situated?
The facilities of Gregory S Shanbour are physically located at the following address: 8117 S Walker Ave, Oklahoma City, OK, 731399476.
What is Gregory S Shanbour's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gregory S Shanbour is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811999618 to Gregory S Shanbour?
The Gregory S Shanbour received its 1811999618 assignment from the Centers for Medicare & Medicaid Services on 2005-08-11.
When was the Gregory S Shanbour's information last updated?
The Gregory S Shanbour's information was last updated on 2007-07-08.