DR. ROBERT H SHACKELFORD


Address: 3915 Johns Creek Ct, Ste 110, Suwanee, GA 30024-1265
Phone: 7704428472

DR. ROBERT H SHACKELFORD (NPI# 1114116365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114116365
Entity Type Individual
Full Name DR. ROBERT H SHACKELFORD
Credential DDS
Practice Address 3915 Johns Creek Ct
Ste 110
Suwanee
GA 30024-1265
Mailing Address 3915 Johns Creek Ct Ste 110
Suwanee
GA 30024-1265
Practice Telephone 7704428472
Practice Fax Number 7707516880
Mailing Telephone 7704428472
Mailing Fax Number 7707516880
Enumeration Date 2007-10-23
Last Update Date 2007-10-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
9972 GA Dental Providers

Other Providers ROBERT SHACKELFORD

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1578633236 Robert P Shackelford Orthopaedic Surgery 113 Airport Road, Suite 200, Sulphur Springs, TX 75482 2006-11-09
1568415362 Robert L Shackelford Chiropractor 219 Sw Second St, Walnut Ridge, AR 72476-2335 2006-05-19
1205215654 Robert Shackelford Marriage & Family Therapist 1100 Cesery Blvd, Jacksonville, FL 32211-5674 2015-05-19
1568867786 Robert Shackelford Counselor 2731 Nugget Ave, Lake Isabella, CA 93240-9456 2014-10-30
1164709499 Robert Shackelford Counselor 165 Roanoke Rd, El Cajon, CA 92020-4015 2011-11-15
1609843028 Robert Hillard Shackelford Family Medicine 201 N Breazeale Ave, Mount Olive, NC 28365-1603 2006-03-03

Office Location

Street Address 3915 JOHNS CREEK CT
STE 110
City SUWANEE
State GA
Zip Code 30024-1265

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356996565 Stephanie Arkin Student in an Organized Health Care Education/Training Program 25 Old Peachtree Rd Nw, Suwanee, GA 30024 2019-08-05
1164989638 Laquitta Craft Registered Nurse 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 2019-02-21
1467937235 Greater Atlanta Monitoring, LLC Electrodiagnostic Medicine 3651 Peachtree Ste E. #331, Suwanee, GA 30024 2018-09-27
1760963482 Esther Natacha Lafontant Public Health or Welfare 3205 Maple Terrace Drive, Suwanee, GA 30024 2018-08-22
1740778463 Immaculate Healthcare Solutions, LLC Home Health 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 2018-04-27
1053819235 Sean Wonsuk Jang Chiropractor 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 2018-01-23
1932628468 Silver Health Services, Inc. Case Manager/Care Coordinator 2640 Westbury Court, Swanee, GA 30024 2017-09-15
1285159095 April L. Rivers Nurse Practitioner 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 2017-08-14
1144743840 Nabil Elkareh Pharmacist 5049 Tarry Glen Drive., Suwanee, GA 30024 2017-07-25
1720508294 Robert A Finkel Dds PC Clinic/Center 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 2017-06-26
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518598325 Redwood Dental of Georgia Dentist 6916 Mcginnis Ferry Rd Ste 500, Suwanee, GA 30024-1258 2020-01-30
1952962854 Liudmila Poznyak Dentist 4245 Johns Creek Pkwy Ste C, Suwanee, GA 30024-9122 2019-06-22
1194217398 Farah Kim Dentist 3250 Camellia Ln, Suwanee, GA 30024-5335 2018-06-04
1164872057 Davis Smith Dentist 2627 Peachtree Pkwy Ste 440, Suwanee, GA 30024-1018 2016-06-21
1285081950 Tarang Choxi Dentist 1039 Peachtree Industrial Blvd Ste A116, Suwanee, GA 30024-8766 2016-05-23
1972922276 Jennifer L. Mccoy, Dds, LLC Dentist 3930 Charleston Market St Ste B1, Suwanee, GA 30024-8757 2014-04-15
1265712483 Fabiola Isabel Palacios-barrionuevo Dentist 3920 Shiloh Ridge Run, Suwanee, GA 30024-6015 2011-08-18
1033410857 Dentistry for Children of Suwanee, LLC Dentist 3855 Johns Creek Pkwy Ste D, Suwanee, GA 30024-1293 2010-11-10
1932351731 Georgia Dental Professionals, PC Dentist 3320 Lawrenceville Suwanee Rd, Suite 2f, Suwanee, GA 30024-6542 2008-10-13
1801089321 Ami Desai Majmundar Dentist 4285 Johns Creek Pkwy, B, Suwanee, GA 30024-6038 2007-08-20
Find all providers in SUWANEE

Competitor

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City SUWANEE
Zip Code 30024

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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