Provider Demographics
NPI:1548331556
Name:SHIELDS, JOEL B (DDS)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:B
Last Name:SHIELDS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:192 S COLLINS RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-4633
Mailing Address - Country:US
Mailing Address - Phone:972-270-7535
Mailing Address - Fax:972-682-3938
Practice Address - Street 1:192 S COLLINS RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4633
Practice Address - Country:US
Practice Address - Phone:972-270-7535
Practice Address - Fax:972-682-3938
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2010-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXTX122371223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry