Shawn James Douglas, DDS, MHA

General Practice Dentistry · Trinity, FL

Individual Active NPI

NPI number 1790990299

Practice location

1821 Wellness Ln Bldg 3
Trinity, FL 34655-5359
Phone
(727) 372-3200
Fax
(727) 372-0505

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NPI record

NPI
1790990299
Entity type
Individual (Type 1)
Enumeration date
May 10, 2007
Last updated
April 2, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN 17419 FL
Durable Medical Equipment & Medical Supplies 332B00000X — —

Other practice locations (1)

  • 8734 N Mobley Rd, Odessa, FL 33556-2509 · (813) 920-2326

About Dr. Douglas

Shawn James Douglas, DDS, MHA is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1821 Wellness Ln Bldg 3, Trinity, FL 34655-5359. The NPI number 1790990299 was assigned on May 10, 2007 and the record was last updated on April 2, 2019.

Dr. Douglas lists a license in the registry: #DN 17419 (FL) 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 Shawn James Douglas, DDS, MHA?

The NPI number is 1790990299.

What is the phone number of Dr. Douglas?

The phone number listed for the practice location is (727) 372-3200.

Where is Dr. Douglas located?

1821 Wellness Ln Bldg 3, Trinity, FL 34655-5359.

What is the taxonomy code for Dr. Douglas?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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