Individual
DR. SHAWN C BOEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MD
Contact information
Practice address
3109 FREDERICK AVENUE, SUITE A, ST JOSEPH, MO 64506
(816) 364-4774
(816) 364-4373
Mailing address
3109 FREDERICK AVENUE, SUITE A, ST JOSEPH, MO 64506
(816) 364-4774
(816) 364-4373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018019668
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400056658
—
MO
Enumeration date
05/22/2018
Last updated
11/18/2025
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