Organization
THE WICKTON TEAM, LLC
Active
Other names
Tinker Tooth Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA CHADWICK SHELTON DMD, MSD (OWNER)
(502) 314-3330
Entity
Organization
Contact information
Practice address
675 PATRICK PL STE E, BROWNSBURG, IN 46112-2110
(502) 314-3330
Mailing address
1557 WINDVIEW, BROWNSBURG, IN 46112-7641
(502) 314-3330
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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