Jeremiah Shakespear DDS PC

NPI #1154763183 in Astoria, Oregon

Provider Information

NPI Number
1154763183
Entity Type
Organization
Organization Name
Jeremiah Shakespear DDS PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 18, 2013
Last Updated
Jul 18, 2013

Practice Location

Address
1775 EXCHANGE ST
State
Oregon
ZIP Code
97103-3508
Phone
(503) 325-3533

Authorized Official

Name
DR. JEREMIAH D SHAKESPEAR, DDS
Title
PRESIDENT
Phone
(503) 325-3533

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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