William Shattuck, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31589 Issued in TX

Legal business name

WILLIAM SHATTUCK, DDS, PLLC

Practice address

295 FM 156
Ste 200
Haslet, TX 76052

Phone

(214) 934-9287

Fax

(866) 892-0774

NPI assigned

Jan 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Dean Shattuck, DDSNPI 1831453869

Title

Owner

Phone

(214) 934-9287

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Dean Shattuck, D.D.S.

  • Dentist
  • Haslet, TX
  • NPI 1831453869
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1205293883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 FM 156",
            "address_2": "STE 200",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "76052",
            "telephone_number": "214-934-9287",
            "fax_number": "866-892-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 FM 156",
            "address_2": "STE 200",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "76052",
            "telephone_number": "214-934-9287",
            "fax_number": "866-892-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM SHATTUCK, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "SHATTUCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-934-9287",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1831453869",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Hoang Vu
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• Lucy Sophia Walters, LMSW
• Linsey Watt, M.ED., LPC
• Shunta Marie Weston, CSFA
• Cynthia Williams, LCSW
• Kaylee Williams, SLPA
• Lisa M Wilson, O.D.
• Elizabeth Joanne Winland, MS, LAT, ATC, LMT
• Wise Clinical Care Associates

• General Practice Dentistry in Haslet, TX
• Providers in Haslet, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.