Individual
DR. PAUL KEVIN SHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2951 STATE ROUTE 45, SALEM, OH 44460
(330) 332-9422
(330) 332-0155
Mailing address
2951 STATE ROUTE 45, SALEM, OH 44460
(330) 332-9422
(330) 332-0155
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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