Individual
DR. STEPHEN ROSS SHELBURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
153 E MORGAN AVE, PENNINGTON GAP, VA 24277-2643
(276) 546-2042
(276) 546-3029
Mailing address
153 E MORGAN AVE, PENNINGTON GAP, VA 24277-2643
(276) 546-2042
(276) 546-3029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412170
VA
Other
Enumeration date
06/14/2008
Last updated
06/14/2008
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