Individual
RICHARD STAKE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
123 HENDERSONVILLE RD, ASHEVILLE, NC 28803-2868
(828) 252-4290
Mailing address
123 HENDERSONVILLE RD, ASHEVILLE, NC 28803-2868
(269) 929-6782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10554
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4067750
—
MI
Enumeration date
08/26/2006
Last updated
03/17/2018
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