Malcolm Drew Shabo, D.D.S.

General Practice Dentistry · Ooltewah, TN

Individual Active NPI

NPI number 1790804367

Practice location

5958 Snow Hill Rd
Ste 144 PMB 204
Ooltewah, TN 37363-7833
Phone
(423) 894-4084
Fax
(423) 894-4086

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NPI record

NPI
1790804367
Entity type
Individual (Type 1)
Enumeration date
March 28, 2007
Last updated
February 25, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 7631 TN

Mailing address

8307 Watersbend Ln
Ooltewah, TN 37363-8705

About Dr. Shabo

Malcolm Drew Shabo, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5958 Snow Hill Rd, Ste 144 PMB 204, Ooltewah, TN 37363-7833. The NPI number 1790804367 was assigned on March 28, 2007 and the record was last updated on February 25, 2013.

Dr. Shabo lists a license in the registry: #7631 (TN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Malcolm Drew Shabo, D.D.S.?

The NPI number is 1790804367.

What is the phone number of Dr. Shabo?

The phone number listed for the practice location is (423) 894-4084.

Where is Dr. Shabo located?

5958 Snow Hill Rd, Ste 144 PMB 204, Ooltewah, TN 37363-7833.

What is the taxonomy code for Dr. Shabo?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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