Angela R Shelton Dmd Psc

NPI #1427151059 in Radcliff, Kentucky

Provider Information

NPI Number: 1427151059
Entity Type: Organization
Organization Name: Angela R Shelton Dmd Psc
Primary Specialty: Dentist
Enumeration Date: Sep 7, 2006
Last Updated: Jul 30, 2015

Practice Location

Address: 299 WEST LINCOLN TRAIL BLVD
Address 2: SUITE 102
City: Radcliff
State: Kentucky
ZIP Code: 40160
Phone: (270) 352-5566

Authorized Official

Name: DR. ANGELA R SHELTON, DMD
Title: DENTIST OWNER
Phone: (270) 352-5566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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