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

DR. KENNETH DEMETRIC SHUMATE, D.D.S

Active Sole Proprietor

DR. KENNETH DEMETRIC SHUMATE, D.D.S is a General Dentistry healthcare provider located in WALDORF, Maryland. NPI 1417236613 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · WALDORF, MD

Registration Details

NPI Number
1417236613
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2011 (15.03204426636 yrs)
Last Updated
Aug 8, 2016
Licenses
14944 (MD)
0401413457 (VA)
Sole Proprietor
Yes

Practice Information

Address
3010 CRAIN HWY
SUITE 202
WALDORF, MD, 206012801
Browse MD providers · Browse ZIP 20601
Phone
2405188928
Fax
2405188931
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Providers in WALDORF, MD

Name Credential NPI
MR. GLANDER FITCHETT JR. DENTIST 1871581777
MR. JAMES PERCY HOOD III DENTIST 1760471254
DR. FELICIA MARGARET MARESCA D.D.S., P.C. 1982680096
DR. CALVIN JAMES WILSON DDS 1225017338
DR. MARK S LAVETTI DDS 1881600435
DR. HYE YOUNG PARK D.M.D. 1164434064
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.