Organization
POWELL DENTAL GROUP-SHELLEY D SHULTS DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY D SHULTS R.N., D.D.S. (OWNER)
(614) 436-4433
Entity
Organization
Contact information
Practice address
39 CLAIREDAN DR, POWELL, OH 43065-8064
(614) 436-4433
(614) 436-6055
Mailing address
39 CLAIREDAN DR, POWELL, OH 43065-8064
(614) 436-4433
(614) 436-6055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
09/25/2015
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