Individual
PETER CRAIGUE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1626 MCARTHUR ST, MANCHESTER, TN 37355-2522
(931) 728-0313
Mailing address
1626 MCARTHUR ST, MANCHESTER, TN 37355-2522
(931) 728-0313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4018
TN
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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