Individual
DR. JACOB TEEL SHELBURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
616 CAMPUS DR STE 100, ABINGDON, VA 24210-9706
(276) 525-4487
Mailing address
39 FOREST LODGE DR, LEBANON, VA 24266-6189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417476
VA
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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