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Dr. Shannon Holer Kelso, DMD
General Practice Dentistry in Lakeland, Florida
NPI 1407164502

Shannon Holer Kelso is a General Practice Dentistry based in Lakeland, FL and is specialized in General Practice. Shannon Holer Kelso practices in Lakeland, FL and has the professional credentials of DMD. The NPI Number for Shannon Holer Kelso is 1407164502 and holds a License No. 59793 (Florida).

The current practice location address for Shannon Holer Kelso is 2156 Harden Blvd., Lakeland, FL and can be reached out via phone at 863-603-7400 and via fax at 863-603-7411. You can also correspond with Shannon Holer Kelso through the mailing address at 2156 HARDEN BLVD., LAKELAND, FL - 33803 (mailing address contact number: 863-603-7400).

Location: 2156 Harden Blvd., Lakeland, FL, 33803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407164502
Provider Name
Shannon Holer Kelso
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2156 Harden Blvd., Lakeland, FL, 33803
Phone Number
863-603-7400
Fax Number
863-603-7411
Provider Enumeration Date
09/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2156 Harden Blvd.
City
Lakeland
State
Florida
Zip
33803
Phone Number
863-603-7400
Fax Number
863-603-7411
person
Provider Business Mailing Address Details
Address
2156 Harden Blvd.
City
Lakeland
State
Florida
Zip
33803
Phone Number
863-603-7400
Fax Number
863-603-7411
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
DN20919 (Florida)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
59793 (California)
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.
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