Individual
DR. SAMUEL L SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDSPC
Contact information
Practice address
336 ROBBINS ST, LAWRENCEBURG, TN 38464
(931) 762-2894
(931) 762-2894
Mailing address
336 ROBBINS ST, LAWRENCEBURG, TN 38464
(931) 762-2894
(931) 762-2894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3400
TN
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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