Individual
DR. SCOTT HALL SHAKESPEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
310 N 400 E, NEPHI, UT 84648-1558
(435) 623-1916
Mailing address
862 S ASPEN LOOP, PROVO, UT 84606-6466
(480) 432-5852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008463
AZ
Other
Enumeration date
08/14/2012
Last updated
09/16/2021
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