Matt McShane DDS PLLC

Organization Active NPI Oral & Maxillofacial Surgery (D.M.D.) · Centerton, AR

NPI 1700538907 · NPPES record last updated Jan 19, 2022

Key facts

NPI
1700538907
Entity type
Organization (NPI type 2)
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X
Legal business name
MATT MCSHANE DDS PLLC
Practice address
1419 E Centerton Blvd
Centerton, AR 72719-7050
Phone
(479) 224-2361
NPI assigned
Jan 19, 2022
Organization subpart
No

Authorized official

Name
Dr. Matt McShane, DDS
Title
Owner
Phone
(479) 747-1967

Practitioners 1

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

National Provider Directory

Locations

1419 E Centerton Blvd
Centerton, AR 72719
Phone (479) 224-2361

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)
Group: 193400000X SINGLE SPECIALTY GROUP
204E00000X Yes

Addresses

Primary practice location

1419 E Centerton Blvd
Centerton, AR 72719-7050

Mailing address

1419 E Centerton Blvd
Centerton, AR 72719-7050

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address drmcshane@mcshaneoms.com Direct

Other providers in Centerton, AR

All providers in Centerton, AR · Oral & Maxillofacial Surgery (D.M.D.) in Arkansas

Sources for this page

Verify at the official NPI Registry.