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Dr. Jonathan David Shadburne, DMD
Pediatric Dentist in Gallatin, Tennessee
NPI 1861981979

Jonathan David Shadburne is a Pediatric Dentist based in Gallatin, TN and is specialized in Pediatric Dentistry. Jonathan David Shadburne practices in Gallatin, TN and has the professional credentials of DMD. The NPI Number for Jonathan David Shadburne is 1861981979 and holds a License No. 30.025658 (Tennessee).

The current practice location address for Jonathan David Shadburne is 124 Goodview Way Ste B, Gallatin, TN and can be reached out via phone at 615-575-3344.

Location: 124 Goodview Way Ste B, Gallatin, TN, 37066-4927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861981979
Provider Name
Jonathan David Shadburne
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
124 Goodview Way Ste B, Gallatin, TN, 37066-4927
Phone Number
615-575-3344
Fax Number
Provider Enumeration Date
05/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
124 Goodview Way Ste B
City
Gallatin
State
Tennessee
Zip
37066-4927
Phone Number
615-575-3344
Fax Number
person
Provider Business Mailing Address Details
Address
124 Goodview Way Ste B
City
Gallatin
State
Tennessee
Zip
37066-4927
Phone Number
615-575-3344
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11282 (Tennessee)
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
30.025658 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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