Search › Georgia › General Practice Dentistry
Robert Shackelford, DDS
NPI 1114116365 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3915 Johns Creek Ct
Ste 110
Suwanee, GA 30024 - Phone
- (770) 442-8472
- Fax
- (770) 751-6880
- Organisation at this address
- Ent Surgical Solutions
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-23
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 Georgia