Organization
WILLIAM E SHELTON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L VARNELL (BUSINESS MANAGER)
(870) 793-7529
Entity
Organization
Contact information
Practice address
1985 HARRISON ST, BATESVILLE, AR 72501-7309
(870) 793-7529
(870) 793-7867
Mailing address
1985 HARRISON ST, BATESVILLE, AR 72501-7309
(870) 793-7529
(870) 793-7867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2286
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4142807
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
01
—
52015485
BLUE CROSS BLUE SHIELD OF ALABAMA
AR
01
—
58273
BLUE CROSS BLUE SHIELD OF ARKANSAS
AR
01
—
823067
UNITED CONCORDIA
—
Enumeration date
12/18/2008
Last updated
12/18/2008
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