Provider Demographics
NPI:1124157466
Name:MCFARLAND, SHAWN M (DDS)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:M
Last Name:MCFARLAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6828 E BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-2809
Mailing Address - Country:US
Mailing Address - Phone:520-296-8549
Mailing Address - Fax:520-722-2253
Practice Address - Street 1:6828 E BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2809
Practice Address - Country:US
Practice Address - Phone:520-296-8549
Practice Address - Fax:520-722-2253
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ61861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice