Austin James Shackelford
Dentist Oral and Maxillofacial Pathology
2568 E Vermont Ave
Phoenix
, Arizona 85016-3619
Austin James Shackelford
Dentist Oral and Maxillofacial Pathology
2568 E Vermont Ave
Phoenix
, Arizona 85016-3619
(602) 481-7380
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About
Features
Specialties
- Dentist
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Austin James Shackelford
- 2568 E Vermont Ave
- Phoenix, AZ
- Zip : 85016-3619
- Phone : (602) 481-7380
Second Address
- Austin James Shackelford
- 2568 E Vermont Ave
- Phoenix, AZ
- Zip : 85016-3619
- Phone : (602) 481-7380
Reviews
FAQs
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What type of doctor is Austin James Shackelford
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Is Austin James Shackelford a sole practitioner?
Is Austin James Shackelford accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 10177 | AZ |
| N | 1223P0106X | Oral and Maxillofacial Pathology | 10177 | AZ |
National Provider Identifier
| NPI | 1558864140 |
|---|---|
| Provider Name | Austin James Shackelford |
| First Address | Phoenix, AZ 85016-3619 |
| Second Address | Phoenix, AZ 85016-3619 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2018 |
| Last Update Date | 12/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.