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Lee Stephen Shackelford, DDS
General Practice Dentistry in Vinita, Oklahoma
NPI 1780955542

Lee Stephen Shackelford is a General Practice Dentistry based in Vinita, OK and is specialized in General Practice. Lee Stephen Shackelford practices in Vinita, OK and has the professional credentials of DDS. The NPI Number for Lee Stephen Shackelford is 1780955542 and holds a License No. 6569 (Oklahoma).

The current practice location address for Lee Stephen Shackelford is 27515 S. 4410 Rd., Vinita, OK and can be reached out via phone at 918-256-4800 and via fax at 918-258-4586.

Location: 27515 S. 4410 Rd., Vinita, OK, 74301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780955542
Provider Name
Lee Stephen Shackelford
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
27515 S. 4410 Rd., Vinita, OK, 74301
Phone Number
918-256-4800
Fax Number
918-258-4586
Provider Enumeration Date
01/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27515 S. 4410 Rd.
City
Vinita
State
Oklahoma
Zip
74301
Phone Number
918-256-4800
Fax Number
918-258-4586
person
Provider Business Mailing Address Details
Address
27515 S. 4410 Rd.
City
Vinita
State
Oklahoma
Zip
74301
Phone Number
918-256-4800
Fax Number
918-258-4586
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
2004032896 (Missouri)
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.
6569 (Oklahoma)
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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