“Dentist” (Shaw Afb, SC)

Location: Shaw Afb, SC
Taxonomy: Dentist.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.

1003498825 — DANIEL BRYCE PETERSEN D.M.D.

Practice Location Address:

420 POLIFKA DR BLDG 1042
SHAW AFB SC
29152-5100

Practice Phone: 803-895-6951

1003498825 mobile

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1013681527 — DR. KEVIN JOHN WILL DMD

Practice Location Address:

431 MEADOWLARK ST
SHAW AFB SC
29152-5019

Practice Phone: 803-895-6988

1013681527 mobile

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1407699523 — DR. SEANN MEYER DMD

Practice Location Address:

420 POLIFKA DR
SHAW AFB SC
29152-5100

Practice Phone: 803-895-6356

1407699523 mobile

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1528705894 — DR. ANNA MARIE CAPTAIN DDS

Practice Location Address:

449 MEADOWLARK ST
SHAW AFB SC
29152-5020

Practice Phone: 803-895-6988

1528705894 mobile

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1548644677 — JIM LI

Practice Location Address:

420 POLIFKA DR BLDG 1042
SHAW AFB SC
29152-5100

Practice Phone: 803-895-6960

1548644677 mobile

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1659128429 — ALAYNA RENEE JONES DMD

Practice Location Address:

420 POLIFKA DR
SHAW AFB SC
29152-5100

Practice Phone: 803-895-6356

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1902652720 — SAMANTHA NIXON DMD

Practice Location Address:

420 POLIFKA DR
SHAW AFB SC
29152-5100

Practice Phone: 803-895-6356

1902652720 mobile

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