DR. Jonathan David Shadburne, DMD

NPI #1861981979 in Gallatin, Tennessee

Provider Information

NPI Number: 1861981979
Entity Type: Individual
Name: DR. Jonathan David Shadburne, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Pediatric Dentistry
Credential: DMD
Enumeration Date: May 3, 2018
Last Updated: Nov 15, 2023

Practice Location

Address: 124 GOODVIEW WAY STE B
City: Gallatin
State: Tennessee
ZIP Code: 37066-4927
Phone: (615) 575-3344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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Organizations

Provider Name	Specialty	City
Shine Pediatric Dentistry and Orthodontics, Pllc	Dentist - Pediatric Dentistry	Gallatin	AI Deep Dive

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