DR. KEVIN LEE SHELTON D.D.S. NPI 1386798247

NPI Information

  • NPI: 1386798247
  • Provider Name: DR. KEVIN LEE SHELTON, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 FULLERTON RD
    PARK PLACE PROFESSIONAL CENTRE
    SWANSEA, IL
    ZIP 62226
  • Phone: (618) 355-0500

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NPI Details

DR. Kevin Lee Shelton, D.D.S. is a general practice dentist in Swansea, IL. The provider is 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. DR. Kevin Lee Shelton, D.D.S. NPI is 1386798247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 FULLERTON RD
PARK PLACE PROFESSIONAL CENTRE
SWANSEA, IL
ZIP 62226-970
Phone: (618) 355-0500
Fax: (618) 355-0501

The NPI 1386798247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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