Individual
DR. NICHOLAS SHALHOUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1334 OHIO AVE, DUNBAR, WV 25064-2933
(304) 768-1736
Mailing address
1334 OHIO AVE, DUNBAR, WV 25064-2933
(304) 768-1736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2058
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137104000
—
WV
01
—
867404
UNITED CONCORDIA
WV
Enumeration date
11/14/2006
Last updated
07/08/2007
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