Individual
DR. DUANE STEVEN SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 E MAIN ST, SUITE 3W, SMITHTOWN, NY 11787-2878
(631) 265-3666
(631) 265-3850
Mailing address
200 E MAIN ST, SUITE 3W, SMITHTOWN, NY 11787-2878
(631) 265-3666
(631) 265-3850
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
039749
NY
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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