Individual
DR. ANN C. SHACKELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100
(859) 655-6186
Mailing address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12010096
IN
1223G0001X
General Practice Dentistry
30.024594
OH
1223G0001X
General Practice Dentistry
Primary
9730
KY
Other
Enumeration date
04/25/2007
Last updated
08/16/2023
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