Thea Diane Shive D.D.S.

NPI 1093797615 - Dentist - 1223X0400X

NPI Details
NPI 1093797615
Gender Female
Enumeration Date 11/18/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
565 PLANDOME RD
#141
MANHASSET NY, 11030-1945, US
Phone (516) 330-4430
Fax (516) 624-8317
Business Location
565 PLANDOME RD
#141
MANHASSET NY, 11030-1945, US
Phone (516) 330-4430
Fax (516) 624-8317
Toxanomy
Taxonomy Code 1223X0400X
License State New York
License Number 038527
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According to our database, Dr. Thea Diane Shive D.D.S. NPI is 1093797615, taxonomy code is 1223X0400X and license number is 038527, license state is located at New York. Thea Diane Shive D.D.S. physically located at 565 Plandome Rd, Manhasset NY, 11030-1945. NPI Number Thea Diane Shive D.D.S. has the Individual type.

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1093797615 NPI number is provided on an as is basis without warranty of any kind. 1093797615 is maintained by the National Plan & Provider Enumeration System. The contents of Thea Diane Shive D.D.S. are for informational purposes only.