Dr. SHAN K BAGBY -- DMD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1558317784- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 450 GIBNER ROAD SUITE 2, CARLISE BARRACKS, PA, 17013
- Phone
- (571) 231-5383
- Fax
- (502) 624-2966
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: TX #20428
All Addresses
MAILING
9275 DOERR RD, BLDG 1221 STE 140 HQ, NORTHERN REGION DENTAL COMMAND (ATTN CREDENTIALS)
FORT BELOIR, VA, 220602205