Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shan K Bagby, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1558317784

Dr. Shan K Bagby, DMD is an Oral and Maxillofacial Surgery (Dentist) in Carlise Barracks, Pennsylvania. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

450 Gibner Rd Ste 2
Carlise Barracks, PA 17013
Phone: (571) 231-5383
Fax: (502) 624-2966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 20428 (TX)

Record details

NPI number1558317784
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESJune 30, 2014