DR. WILLIAM DOUGLAS SHAVER DMD NPI 1033220280

NPI Information

NPI: 1033220280
Provider Name: DR. WILLIAM DOUGLAS SHAVER, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
2816 VEACH ROAD
OWENSBORO, KY
ZIP 42303
Phone: (270) 926-6100
Get Directions

DR. William Douglas Shaver, DMD is an oral and maxillofacial surgery dentist in Owensboro, KY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. William Douglas Shaver, DMD NPI is 1033220280. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2816 VEACH ROAD
OWENSBORO, KY
ZIP 42303-295
Phone: (270) 926-6100
Fax: (270) 926-6195

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/13/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		4637	KENTUCKY	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	4637	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	T54036	MEDICARE UPIN	KENTUCKY
2	60046372	MEDICAID	KENTUCKY
3	64046378	MEDICAID	KENTUCKY
4	1511401	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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