Individual provider · Type 1 NPI

W. Shane Holmes, DDS, MDS

Orthodontics and Dentofacial Orthopedics Dentistry · Charleston, WV

NPI number 1336211010 Active

Practice location

867 Oakwood Rd
Charleston, WV 25314-2057

Fax (304) 720-3672

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X3383 (WV)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1336211010

W. Shane Holmes, DDS, MDS's National Provider Identifier is 1336211010, issued on Nov 15, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Charleston, WV. The record was last updated on Jul 9, 2007.