| Robert B Shelton Dds Inc | |
|
905 Walnut Hill Dr Longview TX 75605-5084 | |
| (903) 757-6243 | |
| (903) 757-9406 |
| Full Name | Robert B Shelton Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 905 Walnut Hill Dr, Longview, Texas |
| Authorized Official Name and Position | Robert Byron Shelton (PRESIDENT OF ROBERT B SHELTON DDS) |
| Authorized Official Contact | 9037576243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert B Shelton Dds Inc 905 Walnut Hill Dr Longview TX 75605-5084 Ph: (903) 757-6243 | Robert B Shelton Dds Inc 905 Walnut Hill Dr Longview TX 75605-5084 Ph: (903) 757-6243 |
| NPI Number | 1457461055 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 02/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457461055 | NPI | - | NPPES |
| 090247002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | TX11132 (Texas) | Primary |
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