Provider Demographics
NPI:1669821740
Name:GEORGE SHINEY, DDS, PLLC
Entity Type:Organization
Organization Name:GEORGE SHINEY, DDS, PLLC
Other - Org Name:HIGHLAND OAK DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHINEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:863-398-0624
Mailing Address - Street 1:5444 FM 423
Mailing Address - Street 2:STE. 600
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7175
Mailing Address - Country:US
Mailing Address - Phone:214-308-5359
Mailing Address - Fax:
Practice Address - Street 1:5444 FM 423
Practice Address - Street 2:STE. 600
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7175
Practice Address - Country:US
Practice Address - Phone:214-308-5359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX287291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty