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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 9972 (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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- Erika King, DMDGeneral Practice Dentistry Suwanee, GA NPI 1114602869
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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.