Organization
TEXARKANA DENTAL SPECIALISTS
Active
Other names
Shambarger Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA L SHAMBARGER DDS, MS (VICE-PRESIDENT)
(903) 792-3636
Entity
Organization
Contact information
Practice address
2800 TEXAS BLVD, TEXARKANA, TX 75503-4109
(903) 792-3636
(903) 792-0062
Mailing address
2800 TEXAS BLVD, TEXARKANA, TX 75503-4109
(903) 792-3636
(903) 792-0062
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22320
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183406109
—
TX
Enumeration date
06/03/2010
Last updated
06/03/2010
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