Individual provider · Type 1 NPI

T. R. Shively, DDS

General Practice Dentistry · Spencer, IA

NPI number 1376626739 Active

About NPI 1376626739

T. R. Shively, DDS's National Provider Identifier is 1376626739, issued on Oct 21, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Spencer, IA. The record was last updated on Jul 8, 2007.