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ETHAN JOHN HOWARD SHELTON DMD
NPI 1104484203
Dentist - General Practice in Paducah, KY

Active since June 03, 2019
2018 BROADWAY ST, PADUCAH, KY 42001(270) 443-9099 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2019, Jun 3, 2019 (2 updates tracked since 2019).

About Ethan John Howard Shelton Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN JOHN HOWARD SHELTON DMD (NPI 1104484203) is an individual general practice provider in Paducah, Kentucky, licensed in Tennessee (11060) and active in the NPI registry since June 2019. He maintains a secondary practice location in Mount Juliet.

NPPES Registry Identity

NPI1104484203
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameETHAN JOHN HOWARD SHELTONCredential: DMD
Location Address2018 BROADWAY STPaducah, KY 42001-7108
Mailing Address117 30th Ave N Apt 304Nashville, TN 37203-1395 · (618) 638-3868
Phone(270) 443-9099
Sole ProprietorNo
Enumeration DateJune 3, 2019
Last NPPES UpdateOctober 1, 20192 updates tracked since enumeration
✔ NPI 1104484203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · 11060
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2018 BROADWAY ST, Paducah, KY 42001
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Secondary Practice Location 1

Location 14155 N Mount Juliet RdMount Juliet, TN 37122-3049 · Phone (615) 241-8023

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES KENNETH HUNT D.M.D
Dentist (General Practice)
2018 BROADWAY ST
PADUCAH, KY 42001
McCracken County (270) 443-9099
BROADWAY DENTAL CARE
Dentist (General Practice)
2018 BROADWAY ST
PADUCAH, KY 42001
McCracken County (270) 443-9099
BROADWAY DENTAL CARE, PLLC
Dentist (General Practice)
2018 BROADWAY ST
PADUCAH, KY 42001
McCracken County (270) 443-9099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Shelton's NPI number?

The NPI number for Ethan Shelton is 1104484203. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Ethan Shelton located?

Ethan Shelton practices at 2018 Broadway St, Paducah, KY 42001. The listed phone number is (270) 443-9099.

What is Ethan Shelton's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ethan Shelton accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Ethan Shelton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Shelton was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.