Organization
SHINE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE LYNN WATKINS (INSURANCE ADMIN)
(740) 773-0072
Entity
Organization
Contact information
Practice address
1120 WESTERN AVE, CHILLICOTHE, OH 45601-1174
(740) 773-0072
(800) 507-0629
Mailing address
1120 WESTERN AVE, CHILLICOTHE, OH 45601-1174
(740) 773-0072
(800) 507-0629
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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