Individual
DR. ANDREW DUNHAM SHELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
902 2ND AVE N, FORT DODGE, IA 50501-3958
(515) 573-8351
(515) 576-3513
Mailing address
902 2ND AVE N, FORT DODGE, IA 50501-3958
(515) 573-8351
(515) 576-3513
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7838
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186973
—
IA
Enumeration date
11/07/2006
Last updated
07/09/2007
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