NPI 1336302272

Shane David Rhoton, DMD

Practitioner General Practice Dentistry Fort Wainwright, AK

Practice location

Address: 1060 Gaffney Rd Stop 7500, Fort Wainwright, AK 99703-5007
Phone: (907) 361-5530
Fax: (907) 361-4859

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1262 (AK)

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Registry record

NPI: 1336302272
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jul 2008
Record last updated: 9 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.