Individual
DR. SHUHAD SHAMBILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1144 N 38TH ST, BROKEN ARROW, OK 74014-1312
(918) 994-0028
(918) 994-0904
Mailing address
1144 N 38TH ST, BROKEN ARROW, OK 74014-1312
(918) 994-0028
(918) 994-0908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
T-7324
OK
Other
Enumeration date
06/05/2020
Last updated
11/17/2025
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