Individual ProviderMark Edward ShaneyfeltDentistDental ProvidersPractice Address422 S Main St, Livingston, MT 59047-3456(406) 222-0636PECOS EnrollmentBased on the most recent information from CMS, provider Mark Edward Shaneyfelt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1710324132Provider TypeIndividualFull NameShaneyfelt, Mark EdwardCredentialD.D.S.GenderMaleSole ProprietorNoEnumeration Date5/24/2013Last Updated11/23/2016Contact InformationPractice LocationPractice Address422 S Main St, Livingston, MT 59047-3456Phone(406) 222-0636Fax(406) 222-0636Mailing LocationMailing Address422 S Main St, Livingston, MT 59047-3456Phone(406) 222-0636Fax(406) 222-0636Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseDEN-DEN-LIC-7900Montana