Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAN K BAGBY, DMD
ActiveDR. SHAN K BAGBY, DMD is a Oral & Maxillofacial Surgery healthcare provider located in CARLISE BARRACKS, Pennsylvania. NPI 1558317784 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · CARLISE BARRACKS, PA
Registration Details
- NPI Number
- 1558317784
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (20.244698537364 yrs)
- Last Updated
- Jun 30, 2014
- License
-
20428 (TX)
Practice Information
- Address
-
450 GIBNER ROAD SUITE 2CARLISE BARRACKS, PA, 17013Browse PA providers · Browse ZIP 17013
- Phone
- 5712315383
- Fax
- 5026242966
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.