Organization
PAUL K SHIVERS DDS
Active
Parent organization
SHIVERS DENTISTRY
Other names
shivers dentisry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHIVERS DENTISTRY
Authorized official
MS. PAUL K SHIVERS (FRONT OFFICE)
(330) 332-9422
Entity
Organization
Contact information
Practice address
2951 ST RT 45 S, SALEM, OH 44460-9465
(330) 332-9422
(330) 332-0155
Mailing address
2951 ST RT 45 S, SALEM, OH 44460-9465
(330) 332-9422
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0495003
—
OH
Enumeration date
10/03/2018
Last updated
07/08/2021
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