DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SONYA ANN SHIVELY DDS

MEDICARE: DR. SONYA ANN SHIVELY DDS
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
11223G0001XGeneral Practice Dentistry12010188AIN

General Provider Information

NPI Number : 1689956120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONYA ANN SHIVELY DDS
Provider Business Mailing Address
First Line : 4616 W JEFFERSON BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-6826
Country : US
Telephone Number : 260-432-8414
Fax Number : 260-432-2250
Provider Business Practice Location Address
First Line : 4616 W JEFFERSON BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-6826
Country : US
Telephone Number : 260-432-8414
Fax Number : 260-432-2250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2011
Last Update Date : 09/11/2011

Similar Medicare Providers

1407933427 — DR. ROBERT TODD MABRY DDS
Practice Location Address:
4636 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6826
Practice Phone: 260-436-9439
Practice Fax: 260-436-9467
1629141387 — DR. JAMES W FISHER D.D.S., M.SC.D.
Practice Location Address:
4640 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6826
Practice Phone: 260-432-2813
Practice Fax:
1942354055 — DR. THOMAS G OLDAG DDS, MSD
Practice Location Address:
4640 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6826
Practice Phone: 260-432-2813
Practice Fax:
1285788380 — DR. DENNIS J ZENT DDS, MSD
Practice Location Address:
4640 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6826
Practice Phone: 260-432-2813
Practice Fax:
1417001546 — DR. NED A WARNER DDS, PHD
Practice Location Address:
4640 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6826
Practice Phone: 260-432-2813
Practice Fax:
1528112562 — ENDODONTIC ASSOCIATES, INC.
Practice Location Address:
4640 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6826
Practice Phone: 260-432-2813
Practice Fax:
1629124151 — DR. MICHAEL JAMES BANGERT MICHAEL BANGERT, OD
Practice Location Address:
4626 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6826
Practice Phone: 260-432-5502
Practice Fax: 260-432-8415

Directions to “ DR. SONYA ANN SHIVELY DDS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.