Provider Demographics
NPI:1851466254
Name:SHAMEY, ROBERT W (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:SHAMEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 60
Mailing Address - Street 2:244 WEST STREET
Mailing Address - City:WARE
Mailing Address - State:MA
Mailing Address - Zip Code:01082
Mailing Address - Country:US
Mailing Address - Phone:413-967-4550
Mailing Address - Fax:413-967-3953
Practice Address - Street 1:244 WEST STREET
Practice Address - Street 2:
Practice Address - City:WARE
Practice Address - State:MA
Practice Address - Zip Code:01082-0060
Practice Address - Country:US
Practice Address - Phone:413-967-4550
Practice Address - Fax:413-967-3953
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA165441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice