Individual
DR. LEXINGTON R SHELLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1420 RICHLAND AVENUE W, AIKEN, SC 29801
(803) 648-9348
(803) 648-9376
Mailing address
1420 RICHLAND AVENUE W, AIKEN, SC 29801
(803) 648-9348
(803) 648-9376
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2137
SC
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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