| Gregory S. Shanbour, D.d.s., M.s. | |
|
8117 S Walker Ave Oklahoma City OK 73139-9476 | |
| (405) 634-2239 | |
| (405) 634-3598 |
| Full Name | Gregory S. Shanbour, D.d.s., M.s. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 8117 S Walker Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Gregory S Shanbour (OWNER) |
| Authorized Official Contact | 4056342239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory S. Shanbour, D.d.s., M.s. 8117 S Walker Ave Oklahoma City OK 73139-9476 Ph: (405) 634-2239 | Gregory S. Shanbour, D.d.s., M.s. 8117 S Walker Ave Oklahoma City OK 73139-9476 Ph: (405) 634-2239 |
| NPI Number | 1003080037 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003080037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 4585 (Oklahoma) | Primary |
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