# SHAWN T ENGEBRETSEN DMD P A

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

## Provider details

- **NPI number:** 1225200173
- **Authorized official:** DR. SHAWN T ENGEBRETSEN DMD PA (OWNER)
- **Authorized official phone:** (772) 223-0600

## Contact information

- **Practice address:** 841 E OCEAN BLVD, STUART, FL 34994-2427
- **Practice address phone:** (772) 223-0600
- **Mailing address:** 1825 NW BRIGHT RIVER PT, STUART, FL 34994-9407
- **Mailing address phone:** (772) 692-1194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN0009427 | FL | Yes |

## Other

- **Enumeration date:** 04/01/2008
- **Last updated:** 04/08/2010