Individual provider · Type 1 NPI

Robert H. Shackelford, DDS

General Practice Dentistry · Suwanee, GA

NPI number 1114116365 Active

Practice location

3915 Johns Creek Ct, Ste 110
Suwanee, GA 30024-1265

Fax (770) 751-6880

Mailing address

3915 Johns Creek Ct Ste 110
Suwanee, GA 30024-1265

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X9972 (GA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1114116365

Robert H. Shackelford, DDS's National Provider Identifier is 1114116365, issued on Oct 23, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Suwanee, GA. The record was last updated on Oct 23, 2007.