Individual
JAMES JAY SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
266 MAIN AVENUE, WESTON, WV 26452-2044
(304) 269-4030
(304) 269-4975
Mailing address
266 MAIN AVENUE, WESTON, WV 26452-2044
(304) 269-4030
(304) 269-4975
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1959
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135949000
—
WV
Enumeration date
10/10/2006
Last updated
07/08/2007
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