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Talia Shackelford, DDS
NPI 1922415223 · Dentist · Fort Gratiot, MI
Talia Shackelford, DDS is a Dentist provider in Fort Gratiot, MI (NPI 1922415223).
Provider details
- NPI number
- 1922415223
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 2901021371 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
4216 24th Ave
Fort Gratiot, MI 48059-3880
Phone: (810) 479-4821
Street-level locationGet directions
Mailing address
3350 Crestwater Ct Apt 1812
Rochester Hills, MI 48309-2780
Registry dates
- Enumerated
- 2014-07-18
- Last updated
- 2014-07-18
Frequently asked questions
- What is Talia Shackelford's NPI number?
- Talia Shackelford's National Provider Identifier (NPI) is 1922415223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Talia Shackelford's specialty?
- Talia Shackelford is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Talia Shackelford located?
- Talia Shackelford's practice location on file with NPPES is 4216 24th Ave, Fort Gratiot, MI 48059-3880.
- What is Talia Shackelford's phone number?
- The practice phone number listed in the NPPES registry for Talia Shackelford is (810) 479-4821.
- Is Talia Shackelford's NPI active?
- Yes — Talia Shackelford's NPI (1922415223) is active in the NPPES registry as of the last update on 2014-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.