Individual
DR. PAUL KEVIN SHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17177
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0495003
—
OH
Enumeration date
04/22/2006
Last updated
07/05/2021
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