DR. SHAWN C COUNTRYMAN DDS NPI 1801176136

NPI Information

NPI: 1801176136
Provider Name: DR. SHAWN C COUNTRYMAN, DDS
Classification: Dentist - 1223X0008X
Entity Type: Individual

Specialization: Oral and Maxillofacial Radiology

Address:
4102 PINION DR
USAF ACADEMY, CO
ZIP 80840
Phone: (719) 335-9886
Get Directions

DR. Shawn C Countryman, DDS is an oral and maxillofacial radiology dentist in Usaf Academy, CO. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. DR. Shawn C Countryman, DDS NPI is 1801176136. 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:

4102 PINION DR
USAF ACADEMY, CO
ZIP 80840-502
Phone: (719) 335-9886

The enumeration date for this NPI number is 8/17/2011 and was last updated on 8/17/2022.

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		N-9870	IDAHO	No
2	1223X0008X	Dentist	Oral and Maxillofacial Radiology	00205167	COLORADO	No
3	390200000X	Student in an Organized Health Care Education/Training Program		30418	IOWA	No
4	1223X0008X	Dentist	Oral and Maxillofacial Radiology	N-9870	IDAHO	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: 5/5/2024

NPI Synchronization or Removal

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