IndividualActive
Shawn Countryman, DDS
NPI 1801176136 · Oral and Maxillofacial Radiology Dentistry · Usaf Academy, CO
Provider details
- NPI number
- 1801176136
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Radiology DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- N-9870 (ID)
Mailing address
4102 Pinion Dr
Usaf Academy, CO 80840-2502
Registry dates
- Enumerated
- 2011-08-17
- Last updated
- 2022-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.