Individual provider · Type 1 NPI

Lee Stephen Shackelford, DDS

Dentist · Vinita, OK

NPI number 1780955542 Active

Practice location

27515 S. 4410 Rd.
Vinita, OK 74301

Fax (918) 258-4586

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X6569 (OK)
General Practice Dentistry 1223G0001X2004032896 (MO)
General Practice Dentistry 1223G0001X35652 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1780955542

Lee Stephen Shackelford, DDS's National Provider Identifier is 1780955542, issued on Jan 25, 2012. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Vinita, OK. The record was last updated on Mar 19, 2015.