MEDICARE: DR. SHANA R WARREN-BYERS D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	7256	TN
2	1223G0001X	General Practice Dentistry	4890AL	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033290697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANA R WARREN-BYERS D.D.S.

Provider Business Mailing Address
First Line	:	6275 UNIVERSITY DR NW # 37-127
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-1776
Country	:	US
Telephone Number	:	256-833-3966
Fax Number	:

Provider Business Practice Location Address
First Line	:	6275 UNIVERSITY DR NW # 37-127
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-1776
Country	:	US
Telephone Number	:	256-539-3373
Fax Number	:	256-539-3365

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	12/07/2020

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Directions to “ DR. SHANA R WARREN-BYERS D.D.S.” Practice Location

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