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Dr. Charles Gordon Shea, DMD
Oral and Maxillofacial Surgery (Dentist) in Johnstown, Pennsylvania
NPI 1548697170

Charles Gordon Shea is a Oral and Maxillofacial Surgery (Dentist) based in Johnstown, PA and is specialized in Oral and Maxillofacial Surgery. Charles Gordon Shea practices in Johnstown, PA and has the professional credentials of DMD. The NPI Number for Charles Gordon Shea is 1548697170 and holds a License No. DS018700L (Pennsylvania).

The current practice location address for Charles Gordon Shea is 225 Vine St, Johnstown, PA and can be reached out via phone at 814-535-7888 and via fax at 814-539-8858.

Location: 225 Vine St, Johnstown, PA, 15901-1518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548697170
Provider Name
Charles Gordon Shea
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
225 Vine St, Johnstown, PA, 15901-1518
Phone Number
814-535-7888
Fax Number
814-539-8858
Provider Enumeration Date
09/27/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0015391880001 05 PA
institution
Provider Business Practice Location Address Details
Address
225 Vine St
City
Johnstown
State
Pennsylvania
Zip
15901-1518
Phone Number
814-535-7888
Fax Number
814-539-8858
person
Provider Business Mailing Address Details
Address
225 Vine St
City
Johnstown
State
Pennsylvania
Zip
15901-1518
Phone Number
814-535-7888
Fax Number
814-539-8858
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS018700L (Pennsylvania)
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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