DR. GREGORY S SHANBOUR (NPI# 1811999618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811999618 |
| Entity Type | Individual |
| Full Name | DR. GREGORY S SHANBOUR |
| Credential | D.D.S., M.S. |
| Practice Address |
8117 S Walker Ave Oklahoma City OK 73139-9476 |
| Practice Telephone | 4056342239 |
| Practice Fax Number | 4056343598 |
| Mailing Telephone | 4056342239 |
| Mailing Fax Number | 4056343598 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4585 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | STATE DENTAL LICENSE | 4585 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144588559 | Gregory Farris Shanbour | Dentist | 8117 S Walker Ave, Oklahoma City, OK 73139-9476 | 2012-04-24 |
| Street Address |
8117 S WALKER AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73139-9476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144588559 | Gregory Farris Shanbour | Dentist | 8117 S Walker Ave, Oklahoma City, OK 73139-9476 | 2012-04-24 |
| 1003080037 | Gregory S. Shanbour, D.d.s., M.s. | Dentist | 8117 S Walker Ave, Oklahoma City, OK 73139-9476 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
| 1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| 1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
| 1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
| 1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
| Find all providers in zip 73139 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021343 | Xixi Wu | Dentist | 1201 N Stonewall Ave # 524d, Oklahoma City, OK 73117-1214 | 2020-07-23 |
| 1851713747 | Maria Fernanda Santos Peres | Dentist | 1201 N Stonewall Ave Rm 542, Oklahoma City, OK 73117-1214 | 2014-01-10 |
| 1609142827 | Board of Regents of Ok - Col of Dentistry Grad Perodontics | Dentist | 1201 N Stonewall Ave Rm Dcs253, Oklahoma City, OK 73117-1214 | 2012-04-02 |
| 1669614137 | Ryan James Lanman | Dentist | 3621 Nw 63rd St Ste I, Oklahoma City, OK 73116-2041 | 2009-03-30 |
| 1932169224 | Karen K Luce | Dentist | 1201 N. Stonewall Ave, Oklahoma City, OK 73110 | 2006-03-23 |
| 1255334835 | William George Reeves | Dentist | 2800 Featherstone Rd, Oklahoma City, OK 73120-2151 | 2005-05-27 |
| 1083195267 | Mohammed F Felemban | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2018-08-24 |
| 1679984587 | Juan Rodriguez | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2014-05-13 |
| 1144588559 | Gregory Farris Shanbour | Dentist | 8117 S Walker Ave, Oklahoma City, OK 73139-9476 | 2012-04-24 |
| 1598086001 | Jason Daniel Nicholson | Dentist | 2401 Nw 23rd St, Suite 23, Oklahoma City, OK 73107-2442 | 2010-06-18 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73139 |
Please comment or provide details below to improve the information on DR. GREGORY S SHANBOUR.
| 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.