Individual
DR. DANIEL J SHELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400 E WATAUGA AVE, JOHNSON CITY, TN 37601
(423) 926-4867
Mailing address
400 E WATAUGA AVE, JOHNSON CITY, TN 37601-4079
(423) 926-4867
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2328
MT
1223P0300X
Periodontics
Primary
10688
TN
Other
Enumeration date
08/22/2008
Last updated
06/05/2018
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