Individual
DR. FREDERICK W SHAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS FAGD
Contact information
Practice address
1212 N JOSEY LANE SUITE 238, CARROLLTON, TX 75006-6104
(972) 418-8461
(972) 418-8462
Mailing address
1212 N JOSEY LANE SUITE 238, CARROLLTON, TX 75006-6104
(972) 418-8461
(972) 418-8462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742487
UNITED CONCORDIA
—
01
—
D09949
BCBS
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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