Scot Shadid DDS

NPI #1447441373 in Shawnee, Oklahoma

Provider Information

NPI Number
1447441373
Entity Type
Organization
Organization Name
Scot Shadid DDS
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 6, 2007
Last Updated
Aug 6, 2007

Practice Location

Address
3 E MACARTHUR ST
ZIP Code
74804-2141
Phone
(405) 275-4581

Authorized Official

Name
SCOT SHADID, DDS
Title
OWNER
Phone
(405) 275-4581

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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