| Shark Tooth Sedation Dentistry | |
|
244 N Kaweah Ave Exeter CA 93221-1220 | |
| (909) 663-7966 | |
| Not Available |
| Full Name | Shark Tooth Sedation Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 244 N Kaweah Ave, Exeter, California |
| Authorized Official Name and Position | Stanton Edward Schuler (PRESIDENT) |
| Authorized Official Contact | 9096637966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shark Tooth Sedation Dentistry 1421 Betsy Pl Exeter CA 93221-1061 Ph: (909) 663-7966 | Shark Tooth Sedation Dentistry 244 N Kaweah Ave Exeter CA 93221-1220 Ph: (909) 663-7966 |
| NPI Number | 1750803979 |
|---|---|
| Provider Enumeration Date | 07/10/2017 |
| Last Update Date | 07/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750803979 | NPI | - | NPPES |
| 1750572335 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 55060 (California) | Primary |
Exeter Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 N C St, Exeter, CA 93221 Phone: 559-592-9017 | |
Three Rivers Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 S B St, Exeter, CA 93221 Phone: 559-592-2213 Fax: 559-594-4918 |