Organization
WILLIAM G. SHANER DDS, MS, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G. SHANER D.D.S. M.S. (PRESIDENT)
17195995107
Entity
Organization
Contact information
Practice address
2575 MONTEBELLO DR W STE 101, COLORADO SPRINGS, CO 80918-6959
(171) 959-9510
Mailing address
2575 MONTEBELLO DR W STE 101, COLORADO SPRINGS, CO 80918-6959
(171) 959-9510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
285
CO
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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