Shackelford, Robert H

Shackelford, Robert H is an sole proprietor health care provider with primary practice located at 3915 Johns Creek Ct Ste 110, Suwanee GA 30024-1265. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shackelford, Robert H can be contacted via phone (770) 442-8472.

Contact Information

Primary practice address
3915 Johns Creek Ct Ste 110 Suwanee GA 30024-1265
Fax: (770) 751-6880
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9972 Georgia

Profile Details

NPI number 1114116365
LBN Legal business name Shackelford, Robert H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2007
Last updated Oct 23rd, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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