Organization
R M SHELTON DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONNIE M SHELTON DMD (DENTIST)
(606) 329-1516
Entity
Organization
Contact information
Practice address
441 21ST ST, ASHLAND, KY 41101
(606) 329-1516
(606) 324-9512
Mailing address
PO BOX 2316, ASHLAND, KY 41105-2316
(606) 329-1516
(606) 324-9512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4239
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60042397
—
KY
Enumeration date
04/24/2008
Last updated
04/24/2008
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