Shanetha Linn Collier, D.D.S.
Dentist in Tishomingo, OK. Individual provider (NPI-1).
NPI number1487091047
StatusActive
Last updated in NPPESMay 22, 2013
Details
- NPI
- 1487091047
- Entity type
- Individual (NPI-1)
- Name
- Shanetha Linn Collier
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2013
- Last updated
- May 22, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6476 | OK | Yes |
Practice location
610 E 24th StTishomingo, OK 73460-3245
Phone 580-371-2343
Mailing address
2227 Gershwin DrDurant, OK 74701-2015
Phone 580-775-0552
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All 13 Dentist providers in Tishomingo · All 289 providers in Tishomingo
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