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Dr. Mark T Shehan, DDS
Oral and Maxillofacial Surgery (Dentist) in Winston Salem, North Carolina
NPI 1083721906

Mark T Shehan is a Oral and Maxillofacial Surgery (Dentist) based in Winston Salem, NC and is specialized in Oral and Maxillofacial Surgery. Mark T Shehan practices in Winston Salem, NC and has the professional credentials of DDS. The NPI Number for Mark T Shehan is 1083721906 and holds a License No. 4949 (North Carolina).

The current practice location address for Mark T Shehan is 1601 South Hawthorne Road, Winston Salem, NC and can be reached out via phone at 336-765-9550 and via fax at 336-765-9552.

Location: 1601 South Hawthorne Road, Winston Salem, NC, 27103-4127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083721906
Provider Name
Mark T Shehan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1601 South Hawthorne Road, Winston Salem, NC, 27103-4127
Phone Number
336-765-9550
Fax Number
336-765-9552
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7997761 05 NC
institution
Provider Business Practice Location Address Details
Address
1601 South Hawthorne Road
City
Winston Salem
State
North Carolina
Zip
27103-4127
Phone Number
336-765-9550
Fax Number
336-765-9552
person
Provider Business Mailing Address Details
Address
1601 South Hawthorne Road
City
Winston Salem
State
North Carolina
Zip
27103-4127
Phone Number
336-765-9550
Fax Number
336-765-9552
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
4949 (North Carolina)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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