| Sha Orthodontics | |
|
2951 Kanell Blvd Poplar Bluff MO 63901-4008 | |
| (573) 776-1355 | |
| (573) 776-1167 |
| Full Name | Sha Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2951 Kanell Blvd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Seanica M Howe (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 5737761355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sha Orthodontics 2951 Kanell Blvd Poplar Bluff MO 63901-4008 Ph: (573) 776-1355 | Sha Orthodontics 2951 Kanell Blvd Poplar Bluff MO 63901-4008 Ph: (573) 776-1355 |
| NPI Number | 1508199498 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 09/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508199498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2008035697 (Missouri) | Primary |
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