Individual
DR. JOHN C SHILLINGBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3700 FORUMS DR, #203, FLOWER MOUND, TX 75028-1860
(972) 539-1491
(972) 539-3489
Mailing address
3700 FORUMS DR, #203, FLOWER MOUND, TX 75028-1860
(972) 539-1491
(972) 539-3489
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401411293
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19916
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2009
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