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Dr. T. R. Shively, DDS
General Practice Dentistry in Spencer, Iowa
NPI 1376626739

T. R. Shively is a General Practice Dentistry based in Spencer, IA and is specialized in General Practice. T. R. Shively practices in Spencer, IA and has the professional credentials of DDS. The NPI Number for T. R. Shively is 1376626739 and holds a License No. 05797 (Iowa).

The current practice location address for T. R. Shively is 1206 2Nd Ave E, Spencer, IA and can be reached out via phone at 712-262-1055.

Location: 1206 2Nd Ave E, Spencer, IA, 51301-4424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376626739
Provider Name
T. R. Shively
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1206 2Nd Ave E, Spencer, IA, 51301-4424
Phone Number
712-262-1055
Fax Number
Provider Enumeration Date
10/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1206 2Nd Ave E
City
Spencer
State
Iowa
Zip
51301-4424
Phone Number
712-262-1055
Fax Number
person
Provider Business Mailing Address Details
Address
1206 2Nd Ave E
City
Spencer
State
Iowa
Zip
51301-4424
Phone Number
712-262-1055
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
05797 (Iowa)
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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