William Jerry Barnet Shearer, D.D.S.
Individual provider Active NPI Dentist · Saipan, MP
NPI 1972804896 · NPPES record last updated Apr 9, 2013
Key facts
- NPI
- 1972804896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 9163 (TN)
- Practice address
- 1 Quartermaster Road
Saipan Seventh-Day Adventist Clinic
Saipan, MP 96950 - Phone
- (670) 234-6008
- Fax
- (670) 234-0521
- NPI assigned
- Nov 9, 2010
- Sex
- Male
- 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 |
|---|---|---|---|
| 0113 | MP | MD | Dentist |
| 9163 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saipan Seventh-Day Adventist Clinic | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9163 | TN | Yes |
| Dentist | 122300000X | 0113 | MP |
Addresses
Primary practice location
1 Quartermaster Road
Saipan Seventh-Day Adventist Clinic
Saipan, MP 96950
Mailing address
P.O. Box 500169
Saipan Seventh-Day Adventist Clinic
Saipan, MP 96950
Phone (670) 234-6008
Other providers in Saipan, MP
- Dale Max Sayles II
- Tian Schiera
- Maureen Sebangiol
- Robin Stuart Shearer
- Sarah Jane Shearer
- Smile Marianas, Inc.
- Joel Reed Smith
- Winnie E Solano
- St. Jude Renal Care Facility, Inc.
- Janice C Stanley
All providers in Saipan, MP · Dentist in Northern Mariana Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2013. 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.