Mctiernan, Shane Robert

Mctiernan, Shane Robert is an individual health care provider with primary practice located at 463859 State Road 200 , Yulee FL 32097-3639. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mctiernan, Shane Robert can be contacted via phone (904) 335-3222.

Contact Information

Primary practice address
463859 State Road 200 Yulee FL 32097-3639
Phone: (904) 335-3222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN25009 Florida

Profile Details

NPI number 1376160010
LBN Legal business name Mctiernan, Shane Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2020
Last updated Jun 29th, 2020 - about 6 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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