Individual provider · Type 1 NPI

Jared Michael Shelton, DMD

Oral and Maxillofacial Surgery (Dentist) · Lexington, KY

NPI number 1871889782 Active

Practice location

800 Rose St, D508 College Of Dentistry Division Of Oral Surgery
Lexington, KY 40536-0292

Mailing address

3780 Lady Di Ln
Lexington, KY 40517-1020

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X9055 (KY)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X9055 (KY)

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 1871889782

Jared Michael Shelton, DMD's National Provider Identifier is 1871889782, issued on Jun 20, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lexington, KY. The record was last updated on Aug 30, 2013.