# SHANE R. CLAIBORNE, DDS, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073916334
- **Authorized official:** MR. SHANE R CLAIBORNE DDS (DENTIST/OWNER)
- **Authorized official phone:** (434) 944-9763

## Contact information

- **Practice address:** 16862 FOREST RD, FOREST, VA 24551
- **Practice address phone:** (434) 944-9763
- **Practice address fax:** (434) 616-2277
- **Mailing address:** 16862 FOREST ROAD, FOREST, VA 24551
- **Mailing address phone:** (434) 944-9763
- **Mailing address fax:** (434) 616-2277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410958 | VA | Yes |

## Other

- **Enumeration date:** 10/01/2014
- **Last updated:** 10/01/2014