MELVIN L SHANLEY DDS PA NPI 1053446419

NPI Information

MELVIN L SHANLEY DDS PA is a general practice dentist in San Antonio, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MELVIN L SHANLEY DDS PA NPI is 1053446419. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4315 MOONLIGHT WAY
SUITE 101
SAN ANTONIO, TX
ZIP 78230-688
Phone: (210) 697-7377
Fax: (210) 697-7319

The provider's authorized official is Melvin L Shanley .
The authorized official title is President and has the following contact phone number (210) 697-7377.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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