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

LEE STEPHEN SHACKELFORD, DDS

Active

LEE STEPHEN SHACKELFORD, DDS is a Dentist healthcare provider located in VINITA, Oklahoma. NPI 1780955542 is currently active in the NPPES registry. Verify at CMS.

Dentist · VINITA, OK

Registration Details

NPI Number
1780955542
Provider Type
Individual
Gender
Male
NPI Issued
Jan 25, 2012 (14.528121422763 yrs)
Last Updated
Mar 19, 2015
Licenses
6569 (OK)
2004032896 (MO)
35652 (CA)

Practice Information

Address
27515 S. 4410 RD.
VINITA, OK, 74301
Browse OK providers · Browse ZIP 74301
Phone
9182564800
Fax
9182584586
Primary Specialty
Dentist
122300000X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other Dentist Providers in VINITA, OK

Name Credential NPI
DR. PAUL G. HAINES II D.D.S. 1467538561
DR. JARETT BRANDON TURNEY D.D.S. 1265565295
DR. JOCELYN LYNN COUCH DMD 1528686664
MS. MICHELLE L CLIFT DMD 1669165304
JEFFREY DAVID TANNER DMD 1851102404
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.