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NPI 1780748855

IndividualActive

Albert Shackelford, DMD

NPI 1780748855 · Dentist · Athens, GA

Provider details

NPI number: 1780748855
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: 011019 (GA)

Practice location

600 Oglethorpe Ave

Suite 2

Athens, GA 30606-2263

Phone: (706) 353-2298

Fax: (706) 353-2298

More GA providers

Mailing address

600 Oglethorpe Ave

Athens, GA 30606-2263

Registry dates

Enumerated: 2006-12-21
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Albert Shackelford, DMD — NPI 1780748855, Athens, GA | NPI Central