Dr Shan K Bagby, DMD is a
Dentist - Oral And Maxillofacial Surgery based in Carlise Barracks, Pennsylvania. Dr Shan K Bagby is licensed to practice in Texas (license number 20428) and his current practice location is
450 Gibner Road Suite 2, Carlise Barracks, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(571) 231-5383.
NPI number for Dr Shan K Bagby is 1558317784 and his current mailing address is 9275 Doerr Rd, Bldg 1221 Ste 140, Hq, Northern Region Dental Command (attn Credentials), Fort Beloir, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558317784.
Healthcare Provider's Profile
Full Name | Dr Shan K Bagby |
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Gender | Male |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
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Location | 450 Gibner Road Suite 2, Carlise Barracks, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558317784
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 06/30/2014
Medical Identifiers
Medical identifiers for Dr Shan K Bagby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558317784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 20428 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shan K Bagby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Shan K Bagby, DMD 9275 Doerr Rd, Bldg 1221 Ste 140, Hq, Northern Region Dental Command (attn Credentials), Fort Beloir, VA 22060-2205 Ph: (571) 231-5383 | Dr Shan K Bagby, DMD 450 Gibner Road Suite 2, Carlise Barracks, PA 17013 Ph: (571) 231-5383 |
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