Whitney, Shaun Michael

Whitney, Shaun Michael is an individual health care provider with primary practice located at 1322 W Kathleen Ave Ste 2 , Coeur D Alene ID 83815-7365. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Whitney, Shaun Michael can be contacted via phone (208) 664-7300.

Contact Information

Primary practice address
1322 W Kathleen Ave Ste 2 Coeur D Alene ID 83815-7365
Phone: (208) 664-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D4420EN Idaho
Dental Providers / Periodontics 1223P0300X D4420PE Idaho

Profile Details

NPI number 1275848582
LBN Legal business name Whitney, Shaun Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2010
Last updated Oct 15th, 2012 - about 14 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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