Individual
DR. MARK MCLEOD SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8831 ALBEMARLE RD, CHARLOTTE, NC 28227
(704) 271-9444
Mailing address
1147 ASHEFORD GREEN AVE NW, CONCORD, NC 28027-8109
(704) 699-8316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13918
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/17/2024
Last updated
07/29/2024
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