Individual provider · Type 1 NPI

Shannon Holer Kelso, DMD

General Practice Dentistry · Lakeland, FL

NPI number 1407164502 Active

Practice location

2156 Harden Blvd.
Lakeland, FL 33803

Call (863) 603-7400 Map

Fax (863) 603-7411

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X59793 (CA)
General Practice Dentistry Primary 1223G0001XDN20919 (FL)

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 1407164502

Shannon Holer Kelso, DMD's National Provider Identifier is 1407164502, issued on Sep 23, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lakeland, FL. The record was last updated on Mar 21, 2019.