IndividualActive
Ann Shackelford, DDS
NPI 1942429022 · General Practice Dentistry · Newport, KY
Provider details
- NPI number
- 1942429022
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 30.024594 (OH)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
215 E 11th St
Newport, KY 41071-2203
Phone: (859) 655-6100
Fax: (859) 655-6186
Approximate (ZIP-level) locationGet directions
Mailing address
215 E 11th St
Newport, KY 41071-2203
Additional practice locations (1)
- 7710 Walnut Creek DrFlorence, KY 41042-2528Phone: (765) 620-1967
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.