IndividualActive
Jacob Shelley, DMD, MS
NPI 1912665241 · Orthodontics and Dentofacial Orthopedics Dentistry · Carlsbad, NM
Provider details
- NPI number
- 1912665241
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD, MS
- Sex
- Male
- Sole proprietor
- No
- License
- DD5534 (NM)
Specialties & taxonomies
Dental Providers
Practice location
701 N Canyon St
Carlsbad, NM 88220-5817
Phone: (575) 654-2107
Approximate (ZIP-level) locationGet directions
Mailing address
701 N Canyon St
Carlsbad, NM 88220-5817
Registry dates
- Enumerated
- 2021-12-03
- Last updated
- 2021-12-03
- Certified
- 2021-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.