Individual
MARK EDWARD SHANEYFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
422 S MAIN ST, LIVINGSTON, MT 59047-3456
(406) 222-0636
(406) 222-0636
Mailing address
422 S MAIN ST, LIVINGSTON, MT 59047-3456
(406) 222-0636
(406) 222-0636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-7900
MT
Other
Enumeration date
05/24/2013
Last updated
11/23/2016
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