DR. Robert H Shackelford, DDS

NPI #1114116365 in Suwanee, Georgia

Provider Information

NPI Number: 1114116365
Entity Type: Individual
Name: DR. Robert H Shackelford, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 23, 2007
Last Updated: Oct 23, 2007

Practice Location

Address: 3915 JOHNS CREEK CT
Address 2: STE 110
City: Suwanee
State: Georgia
ZIP Code: 30024-1265
Phone: (770) 442-8472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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