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NPI Code Detail

MEDICARE: DR. SIVAN SHEMER DMD MS

MEDICARE: DR. SIVAN SHEMER DMD MS
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry37002TX

General Provider Information

NPI Number : 1467043547
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SIVAN SHEMER DMD MS
Provider Business Mailing Address
First Line : 770 CANTEGRAL ST. APARTMENT 850
Second Line :
City : DALLAS
State : TX
Zip : 75204
Country : US
Telephone Number : 314-243-1605
Fax Number :
Provider Business Practice Location Address
First Line : 5848 ABRAMS RD
Second Line :
City : DALLAS
State : TX
Zip : 75214-1603
Country : US
Telephone Number : 214-545-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2021
Last Update Date : 02/01/2021

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Directions to “ DR. SIVAN SHEMER DMD MS” Practice Location

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