Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLINT TYLER SHELLEY, DDS
ActiveDR. CLINT TYLER SHELLEY, DDS is a Oral & Maxillofacial Surgery healthcare provider located in FORT BRAGG, North Carolina. NPI 1922257021 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FORT BRAGG, NC
Registration Details
- NPI Number
- 1922257021
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2008 (17.892639010082 yrs)
- Last Updated
- May 18, 2021
- Licenses
-
7066379-9921 (UT)7066379-9921 (UT)
Practice Information
- Address
-
4861 LOGISTICS AVEFORT BRAGG, NC, 283100001Browse NC providers · Browse ZIP 28310
- Phone
- 9109079060
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in FORT BRAGG, NC
| Name | Credential | NPI |
|---|---|---|
| DR. FRANK BROWN STRICKLAND | D.D.S. | 1598741548 |
| DR. JAMES PATRICK ARNOLD | DMD | 1396723698 |
| DR. DANIEL LEE TREBUS | DDS | 1245289974 |
| DR. JAMES L KOEHLER JR. | DMD | 1821424185 |
| BRADLEY PAUL STORRS | DDS | 1801262530 |
| DR. JOSEPH PARK | DDS, MD | 1639532104 |
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.