Individual
DANA BRENT SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1611 GREENFIELD STREET, WILMINGTON, NC 28401
(910) 342-9210
(910) 342-9211
Mailing address
7509 CHAMPLAIN ROAD, WILMINGTON, NC 28412
(910) 793-3532
(910) 342-9211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7852
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902VE
—
NC
Enumeration date
09/21/2006
Last updated
07/08/2007
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