Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAWN C COUNTRYMAN, DDS
ActiveOral & Maxillofacial Pathology · USAF ACADEMY, CO
Registration Details
- NPI Number
- 1801176136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2011 (14.679010042638 yrs)
- Last Updated
- Aug 17, 2022
- Licenses
-
N-9870 (ID)00205167 (CO)30418 (IA)N-9870 (ID)
Practice Information
- Address
-
4102 PINION DRUSAF ACADEMY, CO, 808402502Browse CO providers · Browse ZIP 80840
- Phone
- 7193359886
- Primary Specialty
-
Oral & Maxillofacial Pathology
1223X0008X
- Additional Specialty
- Oral & Maxillofacial Pathology
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Oral & Maxillofacial Pathology
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.