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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANE RADFORD, DMD

Active

DR. SHANE RADFORD, DMD is a Orthodontics healthcare provider located in SOUTHAVEN, Mississippi. NPI 1174246425 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · SOUTHAVEN, MS

Registration Details

NPI Number
1174246425
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2022 (3.8680258663818 yrs)
Last Updated
Sep 21, 2022
License
11860 (TN)

Practice Information

Address
2925 NAIL RD E STE 2
SOUTHAVEN, MS, 386726707
Browse MS providers · Browse ZIP 38672
Phone
6625363661
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in SOUTHAVEN, MS

Name Credential NPI
DR. RICHARD A. WILLIAMS DDS 1972623775
HUNTER B HARRISON D.D.S., M.S. 1336470277
DR. DAVID RAY LIBBY D.D.S. 1194056648
DR. NATHAN REED HAMMAN D.D.S., M.D.S. 1144511916
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.