Individual
SHAWN R SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1444 W MOUND ST, COLUMBUS, OH 43223
(614) 272-0011
(614) 272-0147
Mailing address
1444 W MOUND ST, COLUMBUS, OH 43223
(614) 272-0011
(614) 272-0147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21406
OH
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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