Individual
DR. MATTHEW MCSHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
163 VAN ASHE LOOP, FAYETTEVILLE, AR 72703
(479) 966-4004
Mailing address
163 VAN ASHE LOOP, FAYETTEVILLE, AR 72703
(479) 966-4004
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3897
AR
Other
Enumeration date
03/21/2012
Last updated
08/18/2022
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