Individual
DR. SHELBY D MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
770 ROSE ST, LEXINGTON, KY 40536-0001
(859) 568-2669
Mailing address
21582 S ELLSWORTH LOOP RD STE 126, QUEEN CREEK, AZ 85142-7882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105665
AZ
122300000X
Dentist
Primary
105665
CA
122300000X
Dentist
11002
KY
122300000X
Dentist
Primary
2901602957
MI
122300000X
Dentist
D011264
AZ
Other
Enumeration date
10/07/2020
Last updated
07/20/2026
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