Individual
DR. WILLIAM DOUGLAS SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2816 VEACH ROAD, OWENSBORO, KY 42303-6295
(270) 926-6100
(270) 926-6195
Mailing address
2816 VEACH ROAD, OWENSBORO, KY 42303-6295
(270) 926-6100
(270) 926-6195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4637
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4637
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60046372
—
KY
05
—
64046378
—
KY
Enumeration date
08/31/2006
Last updated
05/13/2008
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