DR. ROBERT H SHACKELFORD DDS
NPI 1114116365
Dentist - General Practice in Suwanee, GA

Q: What is Robert Shackelford's NPI number?

The NPI number for Robert Shackelford is 1114116365. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Q: What is Robert Shackelford's specialty?

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

Active since October 23, 2007

3915 JOHNS CREEK CT, STE 110, SUWANEE, GA 30024(770) 442-8472(770) 751-6880 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Robert H Shackelford Dds NPPES

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

DR. ROBERT H SHACKELFORD DDS (NPI 1114116365) is an individual general practice provider in Suwanee, Georgia, licensed in Georgia (9972) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1114116365

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ROBERT H SHACKELFORDCredential: DDS

Location Address3915 JOHNS CREEK CT, STE 110Suwanee, GA 30024-1265

Mailing Address3915 Johns Creek Ct Ste 110Suwanee, GA 30024-1265 · (770) 442-8472 · Fax (770) 751-6880

Phone(770) 442-8472

Fax(770) 751-6880

Sole ProprietorYes

Enumeration DateOctober 23, 2007

✔ NPI 1114116365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · 9972

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.

3915 JOHNS CREEK CT, Suwanee, GA 30024

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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 Robert Shackelford's NPI number?

The NPI number for Robert Shackelford is 1114116365. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Where is Robert Shackelford located?

Robert Shackelford practices at 3915 Johns Creek Ct Ste 110, Suwanee, GA 30024. The listed phone number is (770) 442-8472.

What is Robert Shackelford's specialty?

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

When was this NPI record last updated?

The NPPES record for Robert Shackelford was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.