# R M SHELTON DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366617938
- **Authorized official:** DR. RONNIE M SHELTON DMD (DENTIST)
- **Authorized official phone:** (606) 329-1516

## Contact information

- **Practice address:** 441 21ST ST, ASHLAND, KY 41101
- **Practice address phone:** (606) 329-1516
- **Practice address fax:** (606) 324-9512
- **Mailing address:** PO BOX 2316, ASHLAND, KY 41105-2316
- **Mailing address phone:** (606) 329-1516
- **Mailing address fax:** (606) 324-9512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4239 | KY | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 04/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60042397 | — | KY |