Individual
DR. MARY LYNN SHAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3250 E BATTLEFIELD ROAD, SUITE S, SPRINGFIELD, MO 65804-4081
(417) 882-3335
(417) 882-3435
Mailing address
3250 E BATTLEFIELD ROAD, SUITE S, SPRINGFIELD, MO 65804-4081
(417) 882-3335
(417) 882-3435
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015341
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015341
MISSOURI DENTAL BOARD
MO
Enumeration date
05/19/2008
Last updated
05/19/2008
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