Individual
DR. SHELLEY A SIGUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
220 W BRAMBLETON AVE STE 111, NORFOLK, VA 23510-1571
(615) 400-0018
(912) 732-1013
Mailing address
220 W BRAMBLETON AVE STE 111, NORFOLK, VA 23510-1571
(615) 400-0018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418762
VA
122300000X
Dentist
DN012297
GA
1223G0001X
General Practice Dentistry
6712-C
AL
1223G0001X
General Practice Dentistry
DS6964
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003239553A
—
TN
05
—
3205657
—
TN
Enumeration date
08/09/2005
Last updated
04/24/2025
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