Shianne Sumer Milbourn
Dentist in New Tazewell, TN. Individual provider (NPI-1).
NPI number1033051644
StatusActive
Last updated in NPPESJun 4, 2026
Details
- NPI
- 1033051644
- Entity type
- Individual (NPI-1)
- Name
- Shianne Sumer Milbourn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2026
- Certification date
- Jun 4, 2026
- Last updated
- Jun 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 13184 | TN | Yes |
Practice location
408 Sr-33New Tazewell, TN 37825
Phone 423-562-4766
Mailing address
2257 Jackboro PikeLafollette, TN 37766
Phone 423-562-4766
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