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Contact Information

SHANE M WELLINGTON, DMD
1609 PENNSYLVANIA AVE
EAST LIVERPOOL, OH43920
 Phone: 330-385-1352
 Fax: 330-385-7407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SHANE M WELLINGTON · (Male)

NPI Number 1295794667
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 03/22/2006
Last updated 09/28/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 30021714
  • OH Medicaid 2389660
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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