Individual provider · Type 1 NPI

Thomas Grant Shelton, DMD

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1902597990 Active

Practice location

1 Freedom Way
Augusta, GA 30904-6258

Mailing address

1203 Azalea Dr
Augusta, GA 30904-3324

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902597990

Thomas Grant Shelton, DMD's National Provider Identifier is 1902597990, issued on May 19, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on May 19, 2023.