NPI 1588979009

Shane T. Citron, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Grand Blanc, MI

Practice location

Address: 5090 E Hill Rd, Grand Blanc, MI 48439-7637
Phone: (810) 445-9970
Fax: (810) 445-9971

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2901017389 (MI)

Other Oral & Maxillofacial Surgery providers in Michigan →

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 03796 (NH)

Registry record

NPI: 1588979009
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2010
Record last updated: 15 Feb 2023

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.