IndividualActive
Courtney Shelbourne, DMD
NPI 1407857428 · Oral and Maxillofacial Surgery (Dentist) · Charleston, SC
Provider details
- NPI number
- 1407857428
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3426 (SC)
Specialties & taxonomies
Dental Providers
Practice location
198 Rutledge Ave
Suite 4
Charleston, SC 29403-5817
Phone: (843) 853-5859
Fax: (843) 853-5861
Approximate (ZIP-level) locationGet directions
Mailing address
198 Rutledge Ave
Charleston, SC 29403-5817
Registry dates
- Enumerated
- 2005-08-02
- Last updated
- 2013-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.