Kristen N Shumate, DDS
Individual provider Active NPI Public Health Dentistry · Mansfield, OH
NPI 1821229907 · NPPES record last updated Aug 9, 2010
Key facts
- NPI
- 1821229907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health Dentistry 1223D0001X
- License
- 30-023066 (OH)
- Practice address
- 600 W 3Rd St
Mansfield, OH 44906-2633 - Phone
- (419) 522-6191
- Fax
- (419) 526-4911
- NPI assigned
- Aug 6, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-023066 | OH | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shumate Dental LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 30-023066 | OH | Yes |
Addresses
Primary practice location
600 W 3Rd St
Mansfield, OH 44906-2633
Mailing address
600 W 3Rd St
Mansfield, OH 44906-2633
Phone (419) 522-6191
Other providers in Mansfield, OH
- Robert Shorts
- D Kay Shoulders
- Gracie Shoup
- Stacy Sloan Shoup
- Tracy Lynn Showecker
- Shelley L. Shupp
- Alyssa Sickle
- Siraj A Siddiqui
- Rebecca Siedel
- Anissa Danielle Siefert
All providers in Mansfield, OH · Public Health Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.