Individual
DR. STACEY ELIZABETH SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
415 N GLOSTER ST, TUPELO, MS 38804-3625
(662) 842-2055
(662) 680-4787
Mailing address
415 N GLOSTER ST, TUPELO, MS 38804-3625
(662) 842-2055
(662) 680-4787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3103-99
MS
Other
Enumeration date
02/10/2007
Last updated
07/08/2007
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