Individual
KIMBERLY SHAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
406 UPTOWN SQ, MURFREESBORO, TN 37129-0575
(615) 217-9090
(615) 217-9070
Mailing address
406 UPTOWN SQ, MURFREESBORO, TN 37129-0575
(615) 217-9090
(615) 217-9070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223G0001X
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1403603
UNITED CONCORDIA
TN
01
—
4041788
BCBS OF TN
TN
Enumeration date
03/02/2007
Last updated
07/08/2007
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