L Kent Shacklett, D.D.S., M.S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2 2987 & 55 ORTHO Issued in OK

Practice address

3305 E 45TH St
Tulsa, OK 74135-2901

Phone

(918) 743-2315

Fax

(918) 743-2243

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Llon H Clendenen DDS Ms Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tulsa, OK
  • NPI 1972378388
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174565790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 E 45TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352901",
            "telephone_number": "918-743-2315",
            "fax_number": "918-743-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 E 45TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352901",
            "telephone_number": "918-743-2315",
            "fax_number": "918-743-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKLETT",
        "first_name": "L",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "2 2987    & 55 ORTHO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lou Seymore
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• SH CCRC, LLC
• Ahmed Shaban
• Mohammed Shaban, DO
• Anna Claire Shadid
• David L Shadid, DO
• Joanna Omega Shadlow, PHD
• Shadow Mountain Behavioral Health
• Shadow Mountain Behavioral Health Care System, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.