Individual
STEPHEN PATRICK SHINKLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3020 MADISON RD, CINCINNATI, OH 45209-1710
(513) 531-0600
(513) 531-0600
Mailing address
3020 MADISON RD, CINCINNATI, OH 45209-1710
(513) 531-0600
(513) 531-0600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17259
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007307
DORAL AMERIGROUP
—
05
—
0535791
—
OH
01
—
311657400026
CARE SOURCE
—
Enumeration date
12/13/2005
Last updated
07/08/2007
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