Doot, Shane J

Doot, Shane J is an individual health care provider with primary practice located at 7400 W College Dr , Palos Heights IL 60463-1155. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Doot, Shane J can be contacted via phone (708) 448-8670.

Contact Information

Primary practice address
7400 W College Dr Palos Heights IL 60463-1155
Phone: (708) 448-8670
Fax: (708) 448-8698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Illinois

Profile Details

NPI number 1124175963
LBN Legal business name Doot, Shane J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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