Shute, Jillian Laverne

Shute, Jillian Laverne is an individual health care provider with primary practice located at Us Dentac Health Activity Fort Cavazos 36000 Shoemaker Lane, Suite 1051, Fort Cavazos TX 76544-5054. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Shute, Jillian Laverne can be contacted via phone (254) 287-2705.

Contact Information

Primary practice address
Us Dentac Health Activity Fort Cavazos 36000 Shoemaker Lane, Suite 1051 Fort Cavazos TX 76544-5054
Phone: (254) 287-2705
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 32580 Texas
Dental Providers / General Practice 1223G0001X 63558 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 32580 Texas

Profile Details

NPI number 1528464781
LBN Legal business name Shute, Jillian Laverne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2014
Last updated May 24th, 2023 - about 3 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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