DR. L Kent Shacklett, D.D.S., M.S.D.

NPI #1174565790 in Tulsa, Oklahoma

Provider Information

NPI Number
1174565790
Entity Type
Individual
Name
DR. L Kent Shacklett, D.D.S., M.S.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.D.S., M.S.D.
Enumeration Date
Jun 11, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
3305 E 45TH ST
City
Tulsa
ZIP Code
74135-2901
Phone
(918) 743-2315

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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