Individual
SAVANNAH LEIGH SHETTERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
21001 N TATUM BLVD STE 80-1690, PHOENIX, AZ 85050-5233
(480) 419-9200
Mailing address
8644 W FULLAM ST, PEORIA, AZ 85382-3035
(623) 298-8808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012871
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
06/03/2026
Last updated
06/16/2026
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