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Ethan Shelton, DMD
NPI 1104484203 · on the registry since 2019
Practice
- Address
- 2018 Broadway St
Paducah, KY 42001 - Phone
- (270) 443-9099
- Organisation at this address
- Broadway Dental Care
Broadway Dental Care, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 4155 N Mount Juliet Rd, Mount Juliet, TN
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky