Austin Shackelford, DMD

NPI 1558864140 · on the registry since 2018 · sole proprietor

Practice

Address: 675 Baltimore Dr
Wilkes Barre, PA 18702
Phone: (570) 808-5626
Fax: (570) 808-6352
Organisation at this address: Geisinger Clinc
Geisinger Clinic
Geisinger Wyoming Valley Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 68

Registry record

Primary taxonomy: 1223P0106X
1223P0106X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-08-15

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 Pennsylvania