person
Dr. Sonya Ann Shively, DDS
General Practice Dentistry in Fort Wayne, Indiana
NPI 1689956120

Sonya Ann Shively is a General Practice Dentistry based in Fort Wayne, IN and is specialized in General Practice. Sonya Ann Shively practices in Fort Wayne, IN and has the professional credentials of DDS. The NPI Number for Sonya Ann Shively is 1689956120 and holds a License No. 12010188A (Indiana).

The current practice location address for Sonya Ann Shively is 4616 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-432-8414 and via fax at 260-432-2250.

Location: 4616 W Jefferson Blvd, Fort Wayne, IN, 46804-6826
person
Provider Profile Details
NPI Number
1689956120
Provider Name
Sonya Ann Shively
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
4616 W Jefferson Blvd, Fort Wayne, IN, 46804-6826
Phone Number
260-432-8414
Fax Number
260-432-2250
Provider Enumeration Date
09/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4616 W Jefferson Blvd
City
State
Zip
46804-6826
Phone Number
260-432-8414
Fax Number
260-432-2250
person
Provider Business Mailing Address Details
Address
4616 W Jefferson Blvd
City
State
Zip
46804-6826
Phone Number
260-432-8414
Fax Number
260-432-2250
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
12010188A (Indiana)
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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