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Provider Information for 1396928859

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. GREGORY KENNETH SHELL D.D.S.

Gender: MALE

Individual NPI: 1396928859

Calendar   Last Updated:  2007-12-07
  Certification Date: 

Details

Name Value
NPI 1396928859
Enumeration Date 2007-12-07
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 509 HARPER AVE SW
LENOIR, NC 28645-5076
United States

Phone: 828-754-0234 | Fax:
View Map External Link
Primary Practice Address 509 HARPER AVE SW
LENOIR, NC 28645-5076
United States

Phone: 828-754-0234 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223X0400X - Dentist Orthodontics and Dentofacial Orthopedics NC 5332