DR. SHELLEY A SIGUR DDS NPI 1861493033

NPI Information

NPI: 1861493033
Provider Name: DR. SHELLEY A SIGUR, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
429 N. DUVAL STREET
CLAXTON, GA
ZIP 30417
Phone: (912) 732-1011
Get Directions

DR. Shelley A Sigur, DDS is a pediatric dentistry dentist in Claxton, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Shelley A Sigur, DDS NPI is 1861493033. 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:

429 N. DUVAL STREET
CLAXTON, GA
ZIP 30417
Phone: (912) 732-1011
Fax: (912) 732-1013

The NPI 1861493033 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/9/2005 and was last updated on 7/2/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	6712-C	ALABAMA	No
2	1223G0001X	Dentist	General Practice	DS6964	TENNESSEE	No
3	1223P0221X	Dentist	Pediatric Dentistry	12297	GEORGIA	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	Other Provider Identifier Issuer
1	3205657	MEDICAID	TENNESSEE
2	003239553A	MEDICAID	TENNESSEE

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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