Individual provider · Type 1 NPI

Shawn Torlief Engebretsen

Oral and Maxillofacial Surgery (Dentist) · Stuart, FL

NPI number 1396789350 Active

Practice location

841 E Ocean Blvd
Stuart, FL 34994-2427

Fax (772) 223-0617

Mailing address

1825 NW Bright River Pt
Stuart, FL 34994-9407

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN0009427 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1396789350

Shawn Torlief Engebretsen's National Provider Identifier is 1396789350, issued on Jun 16, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Stuart, FL. The record was last updated on Apr 20, 2010.