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Individual

DR. JEFFREY ALBERT SHELLEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1957 E SAMFORD AVE, SUITE A, AUBURN, AL 36830
(335) 521-0112
Mailing address
379 CHEWACLA DR, AUBURN, AL 36830-5565
(334) 549-1785

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.0005951-C1
AL
1223G0001X
General Practice Dentistry
DN015125
GA

Other

Enumeration date
12/16/2012
Last updated
01/07/2019
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