Provider Demographics
NPI:1033290697
Name:WARREN-BYERS, SHANA R (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHANA
Middle Name:R
Last Name:WARREN-BYERS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6275 UNIVERSITY DR NW # 37-127
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-1776
Mailing Address - Country:US
Mailing Address - Phone:256-833-3966
Mailing Address - Fax:
Practice Address - Street 1:6275 UNIVERSITY DR NW # 37-127
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-1776
Practice Address - Country:US
Practice Address - Phone:256-539-3373
Practice Address - Fax:256-539-3365
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN72561223G0001X
AL4890AL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529800390Medicaid
AL000077461Medicaid