Individual
DR. MATTHEW BERNARD SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2962 STATE ROUTE 39, MILLERSBURG, OH 44654-8852
(330) 893-3363
Mailing address
9250 BEECHWOOD DR, BRECKSVILLE, OH 44141-2647
(708) 362-2594
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.033443
IL
1223G0001X
General Practice Dentistry
Primary
30.24891
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2015
Last updated
09/16/2024
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