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PAUL K SHIVERS DDS NPI 1427533637


NPI Information

NPI: 1427533637
Provider Name: PAUL K SHIVERS DDS

Doing Business As: SHIVERS DENTISRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2951 ST RT 45 S
SALEM, OH
ZIP 44460
Phone: (330) 332-9422
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PAUL K SHIVERS DDS is a dental clinic center in Salem, OH. PAUL K SHIVERS DDS NPI is 1427533637. The provider is registered as an organization entity type.
The provider Is Doing Business As Shivers Dentisry.

The provider's business location address is:

2951 ST RT 45 S
SALEM, OH
ZIP 44460-465
Phone: (330) 332-9422
Fax: (330) 332-0155

The provider's authorized official is Paul K Shivers .
The authorized official title is Front Office and has the following contact phone number (330) 332-9422.

The enumeration date for this NPI number is 10/3/2018 and was last updated on 7/8/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10495003MEDICAIDOHIO

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

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