Individual
DR. BRIAN D. SHUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1775 WILLISTON RD, STE 250, SOUTH BURLINGTON, VT 05403-6491
(802) 863-5447
Mailing address
99 WESTVIEW DR, SO BURLINGTON, VT 05403-7920
(802) 863-0439
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
016-981
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002710
—
VT
Enumeration date
06/17/2005
Last updated
01/08/2015
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