Shanbour, Gregory S
Shanbour, Gregory S is an individual health care provider with primary practice located at 8117 S Walker Ave , Oklahoma City OK 73139-9476. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Shanbour, Gregory S can be contacted via phone (405) 634-2239.Contact Information
Primary practice address
8117 S Walker Ave
Oklahoma City OK 73139-9476
Phone: (405) 634-2239
Fax: (405) 634-3598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 4585 | Oklahoma |
Profile Details
| NPI number | 1811999618 |
|---|---|
| LBN Legal business name | Shanbour, Gregory S |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811999618 | NPPES |
| Oklahoma | Other | 4585 | STATE DENTAL LICENSE |
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