Christine Dougherty Shurley, D.D.S.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DN122502 Issued in GA

Practice address

4355 Johns Creek Pkwy Ste 530
Suwanee, GA 30024-9100

Phone

(770) 495-9193

NPI assigned

Apr 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ga Specialty Dental Services, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Suwanee, GA
  • NPI 1366208431
  NPD

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1265965941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 JOHNS CREEK PKWY STE 530",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249100",
            "telephone_number": "770-495-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 JOHNS CREEK PKWY STE 530",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249100",
            "telephone_number": "770-495-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365 Clifton Rd NE Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221013",
            "country_code": "US",
            "telephone_number": "410-236-7803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4355 Johns Creek Pkwy Ste 530",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300249100",
            "country_code": "US",
            "telephone_number": "770-495-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHURLEY",
        "first_name": "CHRISTINE",
        "middle_name": "DOUGHERTY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "GA",
            "license": "DN122502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Shrewsbury, MS, CCC-SLP
• Nicholas A Shrewsbury, BCBA
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• Austin Shugart
• Sanjay K Shukla, MD
• Mary Siatkowski, OTR,L
• Ryan Jon Siegmund, D.C.
• Silver Health Services, Inc
• Kevin Simmons
• Andrea D Sims, M.ED., L.P.C.

• Oral & Maxillofacial Surgery (D.M.D.) in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.