# TEXARKANA DENTAL SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shambarger Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003136714
- **Authorized official:** DR. SANDRA L SHAMBARGER DDS, MS (VICE-PRESIDENT)
- **Authorized official phone:** (903) 792-3636

## Contact information

- **Practice address:** 2800 TEXAS BLVD, TEXARKANA, TX 75503-4109
- **Practice address phone:** (903) 792-3636
- **Practice address fax:** (903) 792-0062
- **Mailing address:** 2800 TEXAS BLVD, TEXARKANA, TX 75503-4109
- **Mailing address phone:** (903) 792-3636
- **Mailing address fax:** (903) 792-0062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 22320 | TX | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 22346 | TX | — |

## Other

- **Enumeration date:** 06/03/2010
- **Last updated:** 06/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 183406109 | — | TX |