Kenneth L. Shackle in Savannah - General Practice
Kenneth L. Shackle - NPI 1861468191
Kenneth L. Shackle is a General Practice in Savannah, Georgia. Kenneth L. Shackle practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth L. Shackle is 1861468191. The last update date is 2015-05-13.
Kenneth L. Shackle's current location address is 230 Duncan Dr, Savannah, Georgia. You can contact this provider via phone number 9123155417. The mailing address for Kenneth L. Shackle is 230 Duncan Dr, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth L. Shackle |
|---|---|
| Address | 230 Duncan Dr, Savannah, Georgia |
| Phone Number | 9123155417 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1861468191 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2015-05-13 |
Provider Mailing Address Detail
| Address | 230 Duncan Dr |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 314095107 |
| Phone Number | 9123155417 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2955 |
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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. |
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What is the unique 10-digit identifier code issued to Kenneth L. Shackle by the Centers for Medicare & Medicaid Services?
The Kenneth L. Shackle has been assigned the NPI (National Provider Identifier) 1861468191 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kenneth L. Shackle's physical address?
The Kenneth L. Shackle is physically located at 230 Duncan Dr, in the city of Savannah, GA, with the postal code 314095107.
What is the Kenneth L. Shackle's area of specialization and corresponding taxonomy classification?
The Kenneth L. Shackle's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861468191 to Kenneth L. Shackle?
The Centers for Medicare & Medicaid Services originally issued the 1861468191 to Kenneth L. Shackle on 2006-02-27.
As of what date was the information pertaining to Kenneth L. Shackle, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth L. Shackle, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-05-13.