DR. SHAN K BAGBY DMD
NPI 1558317784
Dentist - Oral and Maxillofacial Surgery in Carlise Barracks, PA

Q: What is Shan Bagby's NPI number?

The NPI number for Shan Bagby is 1558317784. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Shan Bagby's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Shan Bagby was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2006

450 GIBNER ROAD SUITE 2, CARLISE BARRACKS, PA 17013(571) 231-5383(502) 624-2966 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Shan K Bagby Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHAN K BAGBY DMD (NPI 1558317784) is an individual oral and maxillofacial surgery provider in Carlise Barracks, Pennsylvania, licensed in Texas (20428) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1558317784

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. SHAN K BAGBYCredential: DMD

Location Address450 GIBNER ROAD SUITE 2Carlise Barracks, PA 17013

Mailing Address9275 Doerr Rd, Bldg 1221 Ste 140, Hq, Northern Region Dental Command (attn Credentials)Fort Beloir, VA 22060-2205 · (571) 231-5383 · Fax (502) 624-2966

Phone(571) 231-5383

Fax(502) 624-2966

Sole ProprietorNo

Enumeration DateMay 26, 2006

Last NPPES UpdateJune 30, 2014

✔ NPI 1558317784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in TX · 20428

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

450 GIBNER ROAD SUITE 2, Carlise Barracks, PA 17013

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE LUCKIE

Dental Hygienist

450 GIBNER ROAD SUITE 2
CARLISLE BARRACKS, PA 17013

Cumberland County (717) 245-4542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shan Bagby's NPI number?

The NPI number for Shan Bagby is 1558317784. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Shan Bagby located?

Shan Bagby practices at 450 Gibner Road Suite 2, Carlise Barracks, PA 17013. The listed phone number is (571) 231-5383.

What is Shan Bagby's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Shan Bagby was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.