Individual
DR. JOSEPH WARREN SHIVELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1555 MARSETTA DRIVE, DAYTON, OH 45432
(937) 426-7611
(937) 426-4331
Mailing address
1555 MARSETTA DRIVE, DAYTON, OH 45432
(937) 426-7611
(937) 426-4331
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
30014778
OH
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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