DR. Kevin Lee Shelton, D.D.S.

NPI #1386798247 in Swansea, Illinois

Provider Information

NPI Number
1386798247
Entity Type
Individual
Name
DR. Kevin Lee Shelton, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jan 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
500 FULLERTON RD
Address 2
PARK PLACE PROFESSIONAL CENTRE
ZIP Code
62226-2970
Phone
(618) 355-0500

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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