Individual
MR. JEREMIAH RAYMOND SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1513 HARRISON AVE STE B5, ELKINS, WV 26241-3356
(304) 637-9899
(304) 637-0555
Mailing address
1513 HARRISON AVE STE B5, ELKINS, WV 26241-3356
(304) 637-9899
(304) 637-0555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS037470
PA
1223G0001X
General Practice Dentistry
Primary
3712
WV
Other
Enumeration date
08/13/2006
Last updated
10/26/2021
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