Stephen Edward Shields | Stuart, FL • PECOS Search

Stephen Edward Shields

Dentist

Dental Providers

800 SE Osceola St, Stuart, FL 34994-2432

PECOS Enrollment

Based on the most recent information from CMS, provider Stephen Edward Shields does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1730198300
Provider Type
Individual
Full Name
Shields, Stephen Edward
Credential
DMD

Gender
Male
Sole Proprietor
No
Enumeration Date
8/5/2006
Last Updated
7/8/2007

Contact Information

Practice Location

800 SE Osceola St, Stuart, FL 34994-2432

(772) 287-9515

Mailing Location

800 SE Osceola St, Stuart, FL 34994-2432

(772) 287-9515

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 5324 Florida