Individual provider · Type 1 NPI

Talia Marie Shackelford, DDS

Dentist · Fort Gratiot, MI

NPI number 1922415223 Active

Practice location

4216 24th Ave
Fort Gratiot, MI 48059-3880

Mailing address

3350 Crestwater Ct Apt 1812
Rochester Hills, MI 48309-2780

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2901021371 (MI)

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 1922415223

Talia Marie Shackelford, DDS's National Provider Identifier is 1922415223, issued on Jul 18, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Gratiot, MI. The record was last updated on Jul 18, 2014.