Individual
PATRICK J SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
607 BENSON RD STE A, GARNER, NC 27529-3988
(919) 772-7030
(919) 772-7810
Mailing address
607 BENSON RD STE A, GARNER, NC 27529-3988
(919) 772-7030
(919) 772-7810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11734
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2017
Last updated
09/30/2021
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