| William Shattuck, Dds, Pllc | |
|
295 Fm 156 Ste 200 Haslet TX 76052 | |
| (214) 934-9287 | |
| (866) 892-0774 |
| Full Name | William Shattuck, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 295 Fm 156, Haslet, Texas |
| Authorized Official Name and Position | William Dean Shattuck (OWNER) |
| Authorized Official Contact | 2149349287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Shattuck, Dds, Pllc 295 Fm 156 Ste 200 Haslet TX 76052 Ph: (214) 934-9287 | William Shattuck, Dds, Pllc 295 Fm 156 Ste 200 Haslet TX 76052 Ph: (214) 934-9287 |
| NPI Number | 1205293883 |
|---|---|
| Provider Enumeration Date | 01/27/2016 |
| Last Update Date | 01/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205293883 | NPI | - | NPPES |
| 1831453869 | Other | TX | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31589 (Texas) | Primary |
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