Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE MARK DOUGLAS, D.D.S.
ActiveDR. SHANE MARK DOUGLAS, D.D.S. is a Dentist healthcare provider located in ROCKLIN, California. NPI 1902169774 is currently active in the NPPES registry. Verify at CMS.
Dentist · ROCKLIN, CA
Registration Details
- NPI Number
- 1902169774
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2012 (14.154561580637 yrs)
- Last Updated
- Dec 2, 2013
- License
-
61439 (CA)
Practice Information
- Address
-
3700 ATHERTON RDROCKLIN, CA, 957653717Browse CA providers · Browse ZIP 95765
- Phone
- 9166264050
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in ROCKLIN, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PRABHJOT KAUR GREWAL | DDS | 1245254374 |
| MR. TRAVIS EMERSON TITLOW | DDS | 1427066331 |
| KEVIN M. KURIO | D.D.S. | 1104839109 |
| ROBERT JAMES MEAGLIA | DDS | 1730292814 |
| MARISSA TALAVERA SERNA-ARAGOZA | DDS | 1598863995 |
| JEANNINE EL-MAASRI | — | 1770706780 |
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.