DR. SHELBY WILLOUGHBY DMD NPI 1649768169

NPI Information

NPI: 1649768169
Provider Name: DR. SHELBY WILLOUGHBY, DMD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
340 BOATNER RD BLDG 2751
EGLIN AFB, FL
ZIP 32542
Phone: (850) 883-8712
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DR. Shelby Willoughby, DMD is a student in an organized health care education training program in Eglin Afb, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Shelby Willoughby, DMD NPI is 1649768169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

340 BOATNER RD BLDG 2751
EGLIN AFB, FL
ZIP 32542-391
Phone: (850) 883-8712

The enumeration date for this NPI number is 4/30/2018 and was last updated on 4/30/2018.

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	390200000X	Student in an Organized Health Care Education/Training Program				Yes

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: 11/14/2023

NPI Synchronization or Removal

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