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.
Individual
DR. GREGORY S SHANBOUR
Active
Individual
DR. GREGORY S SHANBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4585
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4585
STATE DENTAL LICENSE
OK
Enumeration date
08/11/2005
Last updated
07/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up