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Individual

DR. WESLEY SHUTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS, FACP

Contact information

Practice address
USA DENTAC FORT CAVAZOS, 36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544
(254) 289-1005
Mailing address
590 MEDICAL CENTER ROAD, FORT HOOD, TX 76544-5060

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10246
CO
1223G0001X
General Practice Dentistry
Primary
36956
TX
1223G0001X
General Practice Dentistry
D-4409-PR
ID
1223P0700X
Prosthodontics
D-4409
ID
1223P0700X
Prosthodontics
Primary
D4409PR
ID

Other

Enumeration date
08/11/2010
Last updated
05/29/2026
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