Dr Colleen C Shull, DMD is a 
Dentist - Endodontics based in Apg, Maryland. Dr Colleen C Shull is licensed to practice in Pennsylvania (license number DS026397L) and her current practice location is 
2501 Oakington St, Apg Dental Clinic, Apg, Maryland. She can be reached at her office (for appointments etc.) via phone at 
(410) 278-1795.
NPI number for Dr Colleen C Shull is 1154330082 and her current mailing address is 35 Spesutie Island Rd, Aberdeen Proving Ground, Maryland. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154330082.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Colleen C Shull | 
|---|
| Gender | Female | 
|---|
| Speciality | Dentist - Endodontics | 
|---|
| Location | 2501 Oakington St, Apg, Maryland | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1154330082
 - Provider Enumeration Date: 08/07/2006
 - Last Update Date: 07/08/2007
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Colleen C Shull such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1154330082 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1223E0200X | Dentist - Endodontics  | DS026397L (Pennsylvania) | 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 Colleen C Shull 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 Colleen C Shull, DMD 35 Spesutie Island Rd, Aberdeen Proving Ground, MD 21005-1413 Ph: (703) 622-4608 | Dr Colleen C Shull, DMD 2501 Oakington St, Apg Dental Clinic, Apg, MD 21005 Ph: (410) 278-1795 | 
		
		 
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