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JUSTIN SHYBA D.D. S. INC. NPI 1811168628


NPI Information

NPI: 1811168628
Provider Name: JUSTIN SHYBA, D.D. S., INC.

Doing Business As: SOQUEL DENTAL OFFICE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2515 PORTER ST
SOQUEL, CA
ZIP 95073
Phone: (831) 462-8555
Get Directions

JUSTIN SHYBA, D.D. S., INC. is a general practice dentist in Soquel, CA. 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. JUSTIN SHYBA, D.D. S., INC. NPI is 1811168628. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Soquel Dental Office.

The provider's business location address is:

2515 PORTER ST
SOQUEL, CA
ZIP 95073-463
Phone: (831) 462-8555
Fax: (831) 476-3133

The provider's authorized official is Bonnie Segura .
The authorized official title is Office Admin. and has the following contact phone number (831) 462-8555.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 1/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice62533CALIFORNIAYes

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

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