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TALIA MARIE SHACKELFORD DDS
NPI 1922415223
Dentist in Fort Gratiot, MI

Active since July 18, 2014
4216 24TH AVE, FORT GRATIOT, MI 48059(810) 479-4821 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Talia Marie Shackelford Dds NPPES

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

TALIA MARIE SHACKELFORD DDS (NPI 1922415223) is an individual dentist in Fort Gratiot, Michigan, licensed in Michigan (2901021371) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1922415223
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameTALIA MARIE SHACKELFORDCredential: DDS
Location Address4216 24TH AVEFort Gratiot, MI 48059-3880
Mailing Address3350 Crestwater Ct Apt 1812Rochester Hills, MI 48309-2780 · (714) 345-3086
Phone(810) 479-4821
Sole ProprietorNo
Enumeration DateJuly 18, 2014
✔ NPI 1922415223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901021371
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.
4216 24TH AVE, Fort Gratiot, MI 48059
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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.Insurance ›

Other Providers at the Same Location NPPES

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

SCOTT NIGL DENTAL PC
Dentist (General Practice)
4216 24TH AVE, STE 100
FORT GRATIOT, MI 48059
St. Clair County (810) 984-8669

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 Talia Shackelford's NPI number?

The NPI number for Talia Shackelford is 1922415223. It was assigned to this individual provider in the NPPES registry on July 18, 2014.

Where is Talia Shackelford located?

Talia Shackelford practices at 4216 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (810) 479-4821.

What is Talia Shackelford's specialty?

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

What insurance does Talia Shackelford accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Talia Shackelford 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 Talia Shackelford was last updated on July 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.