Individual
DR. KENNETH JAMES SHECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
703 N MAIN ST, SUITE A, CHARLES CITY, IA 50616-2126
(641) 228-2354
Mailing address
703 N MAIN ST, SUITE A, CHARLES CITY, IA 50616-2126
(641) 228-2354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7045
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144527
—
IA
Enumeration date
02/11/2007
Last updated
07/08/2007
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