Shackelford, Stephanie

Shackelford, Stephanie is an sole proprietor health care provider with primary practice located at 3340 Longmeade Dr , Dallas TX 75234-3748. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Shackelford, Stephanie can be contacted via phone (214) 995-9761.

Contact Information

Primary practice address
3340 Longmeade Dr Dallas TX 75234-3748
Phone: (214) 995-9761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 14103 Texas

Profile Details

NPI number 1952072241
LBN Legal business name Shackelford, Stephanie
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2021
Last updated Sep 26th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952072241 NPPES
Texas Other 14103 REGISTERED DENTAL HYGIENIST

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