Organization
MATT MCSHANE DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT MCSHANE DDS (OWNER)
(479) 747-1967
Entity
Organization
Contact information
Practice address
1419 E CENTERTON BLVD, CENTERTON, AR 72719-7050
(479) 224-2361
Mailing address
1419 E CENTERTON BLVD, CENTERTON, AR 72719-7050
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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