Search › Maryland › 1223G0001X
Kenneth Shumate, D.D.S
NPI 1417236613 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3010 Crain Hwy
Suite 202
Waldorf, MD 20601 - Phone
- (240) 518-8928
- Fax
- (240) 518-8931
- Organisation at this address
- Somo Urgent Care, Inc
Somo Urgent Care, Inc
Eagles Nest Wellness Group
Dr. Mullin'S Hearing Center
Potomac Physical Therapy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
1223G0001X - Licence states on file
- MD, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland