Dr Sam R Shanlever, DDS | |
9755 W State Highway 22, Ratcliff, AR 72951-9000 | |
(479) 635-5300 | |
(479) 635-2010 |
Full Name | Dr Sam R Shanlever |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 9755 W State Highway 22, Ratcliff, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962598433 | NPI | - | NPPES |
103823608 | Medicaid | AR | |
846647 | Other | AR | UNITED CONCORDIA |
58898 | Other | AR | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2285 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Sam R Shanlever, DDS Po Box 130, Ratcliff, AR 72951-0130 Ph: (479) 635-5300 | Dr Sam R Shanlever, DDS 9755 W State Highway 22, Ratcliff, AR 72951-9000 Ph: (479) 635-5300 |
Edward A Vela, DDS Dentist Medicare: Medicare Enrolled Practice Location: 9755 W State Hwy 22, Ratcliff, AR 72951 Phone: 479-635-5300 Fax: 479-635-4700 | |
Thomas Donovan Kiefer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9755 W State Highway 22, Ratcliff, AR 72951 Phone: 479-635-5300 |