DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GREGORY FARRIS SHANBOUR, D.D.S.

Active Sole Proprietor

DR. GREGORY FARRIS SHANBOUR, D.D.S. is a Periodontology healthcare provider located in SUMMERVILLE, South Carolina. NPI 1144588559 is currently active in the NPPES registry. Verify at CMS.

Periodontology · SUMMERVILLE, SC

Registration Details

NPI Number
1144588559
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2012 (14.268545256863 yrs)
Last Updated
Jan 6, 2025
License
6549 (OK)
Sole Proprietor
Yes

Practice Information

Address
604B NEXTON SQUARE DR
SUMMERVILLE, SC, 294867914
Browse SC providers · Browse ZIP 29486
Phone
4056500337
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology

Other Periodontology Providers in SUMMERVILLE, SC

Name Credential NPI
DR. DAVID WEST IVEY DMD 1104935717
DR. KELLY WILKES FORD DMD 1760534283
DR. MARK FRED YAMPOLSKY DDS., MS 1083757991
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.