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Austin James Shackelford, DMD
Dentist in Phoenix, Arizona
NPI 1558864140

Austin James Shackelford is a Dentist based in Phoenix, AZ. Austin James Shackelford practices in Phoenix, AZ and has the professional credentials of DMD. The NPI Number for Austin James Shackelford is 1558864140 and holds a License No. 10177 (Arizona).

The current practice location address for Austin James Shackelford is 2568 E Vermont Ave, Phoenix, AZ and can be reached out via phone at 602-481-7380.

Location: 2568 E Vermont Ave, Phoenix, AZ, 85016-3619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558864140
Provider Name
Austin James Shackelford
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2568 E Vermont Ave, Phoenix, AZ, 85016-3619
Phone Number
602-481-7380
Fax Number
Provider Enumeration Date
03/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2568 E Vermont Ave
City
Phoenix
State
Arizona
Zip
85016-3619
Phone Number
602-481-7380
Fax Number
person
Provider Business Mailing Address Details
Address
2568 E Vermont Ave
City
Phoenix
State
Arizona
Zip
85016-3619
Phone Number
602-481-7380
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
10177 (Arizona)
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
Oral and Maxillofacial Pathology
Taxonomy
1223P0106X
License No.
()
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
10177 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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