IndividualActive
Michael Shahan, DDS
NPI 1760498117 · Periodontics · Parkersburg, WV
Provider details
- NPI number
- 1760498117
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2334 (WV)
Specialties & taxonomies
Dental Providers
Practice location
2000 Dudley Ave Ste 2
Parkersburg, WV 26101-3476
Phone: (304) 422-8400
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Dudley Ave Ste 2
Parkersburg, WV 26101-3476
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.