DR. STACEY ELIZABETH SHELTON (NPI# 1750422713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750422713 |
| Entity Type | Individual |
| Full Name | DR. STACEY ELIZABETH SHELTON |
| Other Name | DR. BETH ABEL SHELTON |
| Credential | D.M.D |
| Practice Address |
415 N Gloster St Tupelo MS 38804-3625 |
| Practice Telephone | 6628422055 |
| Practice Fax Number | 6626804787 |
| Mailing Telephone | 6628422055 |
| Mailing Fax Number | 6626804787 |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3103-99 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215452230 | Stacey Renea Shelton | Physical Therapist | 103 Midlake Dr Lowr Level, Knoxville, TN 37918-3039 | 2017-08-10 |
| 1609284983 | Stacey Shelton | Nurse Practitioner | 1201 Monument Rd Ste 200, Jacksonville, FL 32225-7428 | 2014-07-30 |
| Street Address |
415 N GLOSTER ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609962216 | William Lee Hood | Dentist | 415 N Gloster St, Tupelo, MS 38804-3625 | 2006-10-04 |
| 1467649087 | Beth A. Shelton D.m.d., Pa | Dentist | 415 N Gloster St, Tupelo, MS 38804-3625 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255822169 | Daniel Kirk Knighton | Dentist | 101 N Industrial Rd Ste A, Tupelo, MS 38801-3441 | 2018-05-25 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1386097343 | Latoya Legrand | Dentist | 401 S Gloster St Ste 101, Tupelo, MS 38801-5541 | 2016-07-14 |
| 1336418540 | Happy Smiles Dentistry - Tupelo LLC | Dentist | 101 N Industrial Rd, Ste H, Tupelo, MS 38801-3441 | 2011-12-16 |
| 1720389984 | John Paul Bryson | Dentist | 1203 N Gloster St, Suite M, Tupelo, MS 38804-1222 | 2010-11-04 |
| 1467661983 | Ed Holliday, D.m.d., Inc. | Dentist | 901 Garfield St, Tupelo, MS 38801-5737 | 2007-05-21 |
| 1427264241 | John T Lamberth | Dentist | 1763 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2007-05-16 |
| 1073727772 | Joby Davis Collins | Dentist | 704 Hillcrest Drive, Tupelo, MS 38804-1235 | 2007-05-10 |
| 1558488841 | Charles F Young | Dentist | 604 Brunson Dr, Tupelo, MS 38801-4947 | 2007-03-23 |
| 1134246630 | Tupelo Smiles Family and Cosmetic Dentistry | Dentist | 101 Park Gate Dr, Tupelo, MS 38801-3033 | 2007-03-22 |
| Find all providers in TUPELO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.