Search › Wyoming › 122300000X
Michael Shane, DDS
NPI 1558561621 · on the registry since 2007 · sole proprietor
Practice
- Address
- 350 Garfield St
Lander, WY 82520 - Phone
- (307) 332-3181
- Fax
- (307) 332-3484
- Organisation at this address
- Michael G Shane Dds Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-18
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 Wyoming