| 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 | |
Lauren Ashley Hall, Dentist Medicare: Not Enrolled in Medicare Practice Location: 9755 W State Highway 22, Ratcliff, AR 72951 Phone: 479-431-2055 |