Individual
DR. DAVID ROY SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
628 SOUTH AVE W, MISSOULA, MT 59801
(406) 549-6323
(406) 549-9772
Mailing address
628 SOUTH AVE W, MISSOULA, MT 59801
(406) 549-6323
(406) 549-9772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MT 1361
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110604
—
MT
01
—
13614
BCBS
—
01
—
5510245
BLUE CHIP
—
Enumeration date
03/07/2007
Last updated
07/09/2007
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