Brett Shirley Dds Md Pllc | |
4800 Ne Stallings Dr Ste 113 Nacogdoches TX 75965-1250 | |
(936) 657-0120 | |
(936) 305-5322 |
Full Name | Brett Shirley Dds Md Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4800 Ne Stallings Dr Ste 113, Nacogdoches, Texas |
Authorized Official Name and Position | Brett Shirley (OWNER) |
Authorized Official Contact | 9363055155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brett Shirley Dds Md Pllc 4800 Ne Stallings Dr Ste 113 Nacogdoches TX 75965-1250 Ph: (936) 657-0120 | Brett Shirley Dds Md Pllc 4800 Ne Stallings Dr Ste 113 Nacogdoches TX 75965-1250 Ph: (936) 657-0120 |
NPI Number | 1891264024 |
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Provider Enumeration Date | 11/16/2018 |
Last Update Date | 11/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891264024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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