Dr. Sonya Ann Shively is a Fort Wayne, Indiana based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Sonya Ann Shively is
12010188A for General Practice Dentistry in Indiana. Her current practice location is
4616 W Jefferson Blvd, Fort Wayne. Patients can reach her at
260-432-8414.
Dr. Sonya Ann Shively is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Sonya Ann Shively 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. Sonya Ann Shively |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4616 W Jefferson Blvd, Fort Wayne,
Indiana, 46804-6826 |
| Phone: | 260-432-8414 |
| Fax: | 260-432-2250 |
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: | 1689956120 |
| NPI Enumeration Date: | 11 Sep, 2011 |
| NPI Last Update On: | 11 Sep, 2011 |
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. Sonya Ann Shively are as mentioned below.
| License Number | Specialization | State | Status | |
| 12010188A | General Practice Dentistry | Indiana | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4616 W Jefferson Blvd,
Fort Wayne, Indiana |
| Zip: | 46804-6826 |
| Phone Number: | 260-432-8414 |
| Fax Number: | 260-432-2250 |
Patients can reach Dr. Sonya Ann Shively at
4616 W Jefferson Blvd, Fort Wayne, Indiana or can
call to book an appointment on 260-432-8414.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.