Individual provider · Type 1 NPI

Courtney W. Shelbourne, DMD

Oral and Maxillofacial Surgery (Dentist) · Charleston, SC

NPI number 1407857428 Active

Practice location

198 Rutledge Ave, Suite 4
Charleston, SC 29403-5817

Call (843) 853-5859 Map

Fax (843) 853-5861

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X3426 (SC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1407857428

Courtney W. Shelbourne, DMD's National Provider Identifier is 1407857428, issued on Aug 2, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Charleston, SC. The record was last updated on Jan 25, 2013.