Individual provider · Type 1 NPI

Shaneika Gouldbourne, DMD

General Practice Dentistry · Jefferson City, MO

NPI number 1629902937 Active

Practice location

1511 Christy Dr
Jefferson City, MO 65101-2854

Call (573) 632-2777 Map

Mailing address

4900 NW 18th Ct
Lauderhill, FL 33313-4125

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2026025306 (MO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

23 other providers at this address

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About NPI 1629902937

Shaneika Gouldbourne, DMD's National Provider Identifier is 1629902937, issued on Jun 11, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jefferson City, MO. The record was last updated on Jun 11, 2026.