Dr. Kenneth Demetric Shumate is a Waldorf, Maryland based Dentist who is specialized in Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kenneth Demetric Shumate is 14944 for General Practice Dentistry in Maryland. His current practice location is 3010 Crain Hwy, Suite 202, Waldorf. Patients can reach him at 240-518-8928.
Dr. Kenneth Demetric Shumate is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kenneth Demetric Shumate speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kenneth Demetric Shumate
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S
Accepts Medicare Assignment:
No
Practice Address:
3010 Crain Hwy, Suite 202, Waldorf, Maryland, 20601-2801
Phone:
240-518-8928
Fax:
240-518-8931
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1417236613
NPI Enumeration Date:
05 Aug, 2011
NPI Last Update On:
08 Aug, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Demetric Shumate are as mentioned below.
License Number
Specialization
State
Status
14944
General Practice Dentistry
Maryland
Primary
Student in an Organized Health Care Education/Training Program
Secondary
0401413457
General Practice Dentistry
Virginia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth Demetric Shumate such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
067013800
Medicaid
Maryland
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3010 Crain Hwy, Suite 202 Waldorf, Maryland
Zip:
20601-2801
Phone Number:
240-518-8928
Fax Number:
240-518-8931
Patients can reach Dr. Kenneth Demetric Shumate at 3010 Crain Hwy, Suite 202, Waldorf, Maryland or can call to book an appointment on 240-518-8928. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.