Provider Demographics
NPI:1184975252
Name:PRICE, SHELIA S (DDS)
Entity type:Individual
Prefix:DR
First Name:SHELIA
Middle Name:S
Last Name:PRICE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 9407 599 MEDICAL CENTER DR.
Mailing Address - Street 2:WVU SCHOOL OF DENTISTRY,
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-9407
Mailing Address - Country:US
Mailing Address - Phone:304-293-1980
Mailing Address - Fax:304-293-8561
Practice Address - Street 1:599 MEDICAL CENTER DR.
Practice Address - Street 2:WVU SCHOOL OF DENTISTRY, HEALTH SCIENCES NORTH
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-9407
Practice Address - Country:US
Practice Address - Phone:304-293-1980
Practice Address - Fax:304-293-8561
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV2889122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist