Provider Demographics
NPI:1871581033
Name:SHOPE, ZEB CONLEY JR (DDS)
Entity type:Individual
Prefix:DR
First Name:ZEB
Middle Name:CONLEY
Last Name:SHOPE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2947 SAM JAMES RD
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37803-3019
Mailing Address - Country:US
Mailing Address - Phone:865-379-6292
Mailing Address - Fax:865-379-6244
Practice Address - Street 1:2947 SAM JAMES RD
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37803-3019
Practice Address - Country:US
Practice Address - Phone:865-379-6292
Practice Address - Fax:865-379-6244
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS19341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice