Individual
DR. L KENT SHACKLETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
3305 E 45TH ST, TULSA, OK 74135-2901
(918) 743-2315
(918) 743-2243
Mailing address
3305 E 45TH ST, TULSA, OK 74135-2901
(918) 743-2315
(918) 743-2243
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2 2987 & 55 ORTHO
OK
Other
Enumeration date
06/11/2006
Last updated
07/09/2007
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