Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUSTIN JAMES SHACKELFORD, DMD
Active Sole ProprietorAUSTIN JAMES SHACKELFORD, DMD is a Orthodontics & Dentofacial Orthopedics healthcare provider located in WILKES BARRE, Pennsylvania. NPI 1558864140 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · WILKES BARRE, PA
Registration Details
- NPI Number
- 1558864140
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2018 (8.4519917302476 yrs)
- Last Updated
- Aug 15, 2025
- License
-
DS045082 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
675 BALTIMORE DRWILKES BARRE, PA, 187027900Browse PA providers · Browse ZIP 18702
- Phone
- 5708085626
- Fax
- 5708086352
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
Other Orthodontics & Dentofacial Orthopedics Providers in WILKES BARRE, PA
| Name | Credential | NPI |
|---|---|---|
| DR. RALPH A ZAMPETTI | D.D.S. | 1508804204 |
| SCOTT PETERS | DDS | 1134512171 |
| CARLEIGH CANTERBURY | — | 1215431416 |
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.