DR. COLLEEN C. SHULL (NPI# 1154330082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154330082 |
| Entity Type | Individual |
| Full Name | DR. COLLEEN C. SHULL |
| Credential | D.M.D. |
| Practice Address |
2501 Oakington St Apg Dental Clinic Apg MD 21005 |
| Mailing Address |
35 Spesutie Island Rd Aberdeen Proving Ground MD 21005-1413 |
| Practice Telephone | 4102781795 |
| Practice Fax Number | 4102781792 |
| Mailing Telephone | 7036224608 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DS026397L | PA | Dental Providers |
| Street Address |
2501 OAKINGTON ST APG DENTAL CLINIC |
| City | APG |
| State | MD |
| Zip Code | 21005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457330854 | Andrea W Huson | Registered Nurse | 2501 Oakington St, Kirk U.S. Army Health Clinic, Apg, MD 21005-5131 | 2006-01-13 |
| 1003893603 | Denise Lynn Mckinney | Nurse Practitioner | 2501 Oakington St, Kirk Army Health Clinic, Apg, MD 21005-5131 | 2005-12-27 |
| 1184609034 | Martin Phillip Rose | Physician Assistant | 2501 Oakington St, Apg, MD 21005-5131 | 2005-12-14 |
| 1487636882 | David Joseph Hilber | Optometrist | 2501 Oakington St, Kirk Us Army Health Clinic, Apg, MD 21005-5131 | 2005-11-19 |
| 1083605323 | Audrey Jean Alba | Licensed Practical Nurse | 2501 Oakington St, Apg, MD 21005-5131 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275910986 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Chesapeake and Raritan Avenue, Bldg. 2401, Aberdeen Proving Ground, MD 21005 | 2015-05-01 |
| 1801238779 | Michelle Jones | Nurse Practitioner | 6235 Plum Point Loop, Aberdeen Proving Ground, MD 21005 | 2013-07-20 |
| 1942342928 | Stefan Anthony Eltgroth | Internal Medicine | 2105 Oakington Road Kirk Us Army Health Clinic, Aberdeen, MD 21005 | 2007-02-13 |
| 1366555609 | Georgia Grace Rogers | Dentist | 6455 Machine Street, Apg Dental Clinic, Aberdeen Proving Ground, MD 21005 | 2006-08-17 |
| 1568430759 | Kevin P. Michaels | Preventive Medicine | Kirk U.S. Army Health Clinic, 2501 Oakington St, Aberdeen Proving Ground, MD 21005 | 2006-03-14 |
| 1013518331 | Karina Madelline Morales Sandoval | Dental Assistant | 6455 Machine Street, Aberdeen Proving Ground, MD 21005 | 2020-11-03 |
| 1487296620 | Kelvin Bernard Albright Jr. | Dental Assistant | 6455 Machine Street, Apg, MD 21005 | 2019-10-09 |
| 1265997910 | Hyunju Nielsen | Counselor | 6270 Plum Point Loop, Aberdeen Proving Ground, MD 21005-1422 | 2019-02-06 |
| 1184042053 | Melody L King | Physical Therapy Assistant | 3825 Memorial Ct Apt D, Aberdeen Proving Ground, MD 21005-1759 | 2014-03-28 |
| 1427690668 | Jihyun Yoon | Dental Hygienist | 6455 Machine St Building 4501, Aberdeen Proving Ground, MD 21005-1952 | 2019-10-09 |
| Find all providers in zip 21005 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404157 | Rct Endodontics of North Potomac, LLC | Dentist | 11906 Darnestown Rd Ste G, North Potomac, MD 20878-2200 | 2020-07-22 |
| 1750909651 | Azad Dental Group | Dentist | 1020 Mill Pond Rd Ste F, Frederick, MD 21701-9428 | 2020-07-08 |
| 1831758382 | Georgetowne Park Endodontics | Dentist | 5846 Hubbard Dr, Rockville, MD 20852-4820 | 2019-06-09 |
| 1568021012 | Endodontics of Gaithersburg, LLC | Dentist | 847 Quince Orchard Blvd Ste G, Gaithersburg, MD 20878-1677 | 2019-06-09 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1649754482 | Greater Maryland Endodontics, LLC | Dentist | 7676 New Hampshire Ave Ste 424, Takoma Park, MD 20912-7516 | 2018-09-18 |
| 1346730249 | Alexis Joy Herring | Dentist | 29466 Pintail Dr Ste 16, Easton, MD 21601-9324 | 2018-05-16 |
| 1023510575 | Advanced Endodontics Specialty Doctors | Dentist | 5802 Hubbard Dr, Rockville, MD 20852-4818 | 2018-03-01 |
| 1962903864 | Quince Orchard Dental Specialists LLC | Dentist | 849 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878 | 2018-02-26 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.