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Organization
WILLIAM SHATTUCK, DDS, PLLC
Active
Organization
WILLIAM SHATTUCK, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DEAN SHATTUCK DDS (OWNER)
(214) 934-9287
Entity
Organization
Contact information
Practice address
295 FM 156, STE 200, HASLET, TX 76052
(214) 934-9287
(866) 892-0774
Mailing address
295 FM 156, STE 200, HASLET, TX 76052
(214) 934-9287
(866) 892-0774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831453869
INDIVIDUAL NPI
TX
Enumeration date
01/27/2016
Last updated
01/27/2016
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