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Dr. Brent Eugene Shakespeare, DDS
General Practice Dentistry in San Bernardino, California
NPI 1184844920

Brent Eugene Shakespeare is a General Practice Dentistry based in San Bernardino, CA and is specialized in General Practice. Brent Eugene Shakespeare practices in San Bernardino, CA and has the professional credentials of DDS. The NPI Number for Brent Eugene Shakespeare is 1184844920 and holds a License No. 36872 (California).

The current practice location address for Brent Eugene Shakespeare is 1454 E 2Nd St, San Bernardino, CA and can be reached out via phone at 909-382-7146 and via fax at 909-382-7101.

Location: 1454 E 2Nd St, San Bernardino, CA, 92408-0118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184844920
Provider Name
Brent Eugene Shakespeare
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1454 E 2Nd St, San Bernardino, CA, 92408-0118
Phone Number
909-382-7146
Fax Number
909-382-7101
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36872 01 CA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1454 E 2Nd St
City
San Bernardino
State
California
Zip
92408-0118
Phone Number
909-382-7146
Fax Number
909-382-7101
person
Provider Business Mailing Address Details
Address
1454 E 2Nd St
City
San Bernardino
State
California
Zip
92408-0118
Phone Number
909-382-7146
Fax Number
909-382-7101
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
36872 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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