Individual
HAYLEY BETH SHENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
Mailing address
1105 FITE ST, MUSKOGEE, OK 74403-7218
(918) 685-2223
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
7104
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7104
OKLAHOMA DENTAL LICENSE NUMBER
OK
Enumeration date
08/09/2018
Last updated
08/09/2018
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