Kevin P Shearer, Inc. | |
701 Pine St Mount Shasta CA 96067-2133 | |
(539) 926-6333 | |
Not Available |
Full Name | Kevin P Shearer, Inc. |
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Speciality | Dentist - General Practice |
Location | 701 Pine St, Mount Shasta, California |
Authorized Official Name and Position | Kevin P Shearer (PRESIDENT) |
Authorized Official Contact | 5309266333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kevin P Shearer, Inc. 701 Pine St Mount Shasta CA 96067-2133 Ph: (539) 926-6333 | Kevin P Shearer, Inc. 701 Pine St Mount Shasta CA 96067-2133 Ph: (539) 926-6333 |
NPI Number | 1821385220 |
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Provider Enumeration Date | 07/06/2011 |
Last Update Date | 07/06/2011 |
Identifier | Type | State | Issuer |
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1821385220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 60469 (California) | Primary |