IndividualActive
Lee Shackelford, DDS
NPI 1780955542 · Dentist · Vinita, OK
Lee Shackelford, DDS is a Dentist provider in Vinita, OK (NPI 1780955542).
Provider details
- NPI number
- 1780955542
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 6569 (OK)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
27515 S. 4410 Rd.
Vinita, OK 74301
Phone: (918) 256-4800
Fax: (918) 258-4586
Approximate (ZIP-level) locationGet directions
Mailing address
27515 S. 4410 Rd.
Vinita, OK 74301
Registry dates
- Enumerated
- 2012-01-25
- Last updated
- 2015-03-19
Frequently asked questions
- What is Lee Shackelford's NPI number?
- Lee Shackelford's National Provider Identifier (NPI) is 1780955542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lee Shackelford's specialty?
- Lee Shackelford is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Lee Shackelford located?
- Lee Shackelford's practice location on file with NPPES is 27515 S. 4410 Rd., Vinita, OK 74301.
- What is Lee Shackelford's phone number?
- The practice phone number listed in the NPPES registry for Lee Shackelford is (918) 256-4800.
- Is Lee Shackelford's NPI active?
- Yes — Lee Shackelford's NPI (1780955542) is active in the NPPES registry as of the last update on 2015-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.