Provider Demographics
NPI:1588734651
Name:SHYNETT, BETTY C G (DDS FAGD)
Entity type:Individual
Prefix:DR
First Name:BETTY
Middle Name:C G
Last Name:SHYNETT
Suffix:
Gender:F
Credentials:DDS FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24639
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77229-4639
Mailing Address - Country:US
Mailing Address - Phone:281-433-1789
Mailing Address - Fax:
Practice Address - Street 1:2440 FM 2234
Practice Address - Street 2:SUITE 262
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489
Practice Address - Country:US
Practice Address - Phone:281-499-2327
Practice Address - Fax:281-208-3259
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14812122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist