| Brooke Elizabeth Shelton, DMD | |
|
1100 S Dixie Blvd, Radcliff, KY 40160-1105 | |
| (270) 351-5858 | |
| (270) 351-6079 |
| Full Name | Brooke Elizabeth Shelton |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 1100 S Dixie Blvd, Radcliff, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679051809 | NPI | - | NPPES |
| 10172 | Other | KY | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10172 (Kentucky) | Primary |
| Entity Name | Greenwell Family Dentistry Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205070034 PECOS PAC ID: 8123418696 Enrollment ID: O20211124001792 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Elizabeth Shelton, DMD 1100 S Dixie Blvd, Radcliff, KY 40160-1105 Ph: (270) 351-5858 | Brooke Elizabeth Shelton, DMD 1100 S Dixie Blvd, Radcliff, KY 40160-1105 Ph: (270) 351-5858 |
Dr. Harry Patrick Thompson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 555 W Lincoln Trail Blvd, Suite 43, Radcliff, KY 40160 Phone: 270-351-6201 | |
Dr. Angela Reese Shelton, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 299 W Lincoln Trail Blvd Ste 102, Radcliff, KY 40160 Phone: 270-352-5566 Fax: 270-352-5602 | |
Mr. James Robert Spalding Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 814 State Street, Radcliff, KY 40160 Phone: 270-351-3291 Fax: 270-351-3295 | |
Errol Deveaux, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 309 N Wilson Rd, Radcliff, KY 40160 Phone: 270-352-4343 Fax: 270-352-2323 | |
Orlando Gonzalez, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 650 W Lincoln Trail Blvd, Suite 104, Radcliff, KY 40160 Phone: 270-352-2300 | |
Dr. Theresa C. I. Hayward, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 309 N Wilson Rd, Radcliff, KY 40160 Phone: 270-352-4343 Fax: 270-352-4373 |