| R M Shelton Dmd Pllc | |
|
441 21st St Ashland KY 41101 | |
| (606) 329-1516 | |
| (606) 324-9512 |
| Full Name | R M Shelton Dmd Pllc |
|---|---|
| Speciality | Dentist |
| Location | 441 21st St, Ashland, Kentucky |
| Authorized Official Name and Position | Ronnie M Shelton (DENTIST) |
| Authorized Official Contact | 6063291516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R M Shelton Dmd Pllc Po Box 2316 Ashland KY 41105-2316 Ph: (606) 329-1516 | R M Shelton Dmd Pllc 441 21st St Ashland KY 41101 Ph: (606) 329-1516 |
| NPI Number | 1366617938 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366617938 | NPI | - | NPPES |
| 60042397 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4239 (Kentucky) | Primary |
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