Individual provider · Type 1 NPI
Kevin Jay Shively Jr., DMD
Dentist · Lubbock, TX
Practice location
12219 Quaker Ave Ste A
Lubbock, TX 79424-7783
Fax (806) 319-3878
Other practice locations
- Unit 28038, Usa Dentac Bavaria, Apo, AE 09112 ·
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 34543 (TX) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1588096390
Kevin Jay Shively Jr., DMD's National Provider Identifier is 1588096390, issued on Aug 2, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Lubbock, TX. The record was last updated on Mar 17, 2021.