LEE STEPHEN SHACKELFORD DDS
NPI 1780955542
Dentist in Vinita, OK

Q: What is Lee Shackelford's NPI number?

The NPI number for Lee Shackelford is 1780955542. It was assigned to this individual provider in the NPPES registry on January 25, 2012.

Q: What is Lee Shackelford's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Lee Shackelford was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 25, 2012

27515 S. 4410 RD., VINITA, OK 74301(918) 256-4800(918) 258-4586 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lee Stephen Shackelford Dds NPPES

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

LEE STEPHEN SHACKELFORD DDS (NPI 1780955542) is an individual dentist in Vinita, Oklahoma, licensed in Oklahoma (6569) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1780955542

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameLEE STEPHEN SHACKELFORDCredential: DDS

Location Address27515 S. 4410 RD.Vinita, OK 74301

Mailing Address27515 S. 4410 Rd.Vinita, OK 74301 · (918) 256-4800 · Fax (918) 258-4586

Phone(918) 256-4800

Fax(918) 258-4586

Sole ProprietorNo

Enumeration DateJanuary 25, 2012

Last NPPES UpdateMarch 19, 2015

✔ NPI 1780955542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OK · 6569

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2004032896 (MO), 35652 (CA)

27515 S. 4410 RD., Vinita, OK 74301

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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 Lee Shackelford's NPI number?

The NPI number for Lee Shackelford is 1780955542. It was assigned to this individual provider in the NPPES registry on January 25, 2012.

Where is Lee Shackelford located?

Lee Shackelford practices at 27515 S. 4410 Rd., Vinita, OK 74301. The listed phone number is (918) 256-4800.

What is Lee Shackelford's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Lee Shackelford was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.