Sandra Lynn Shell, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH0000004733 Issued in TN

Practice address

417 Hudson Dr
Elizabethton, TN 37643-2881

Phone

(423) 543-4141

NPI assigned

May 29, 2023

Last updated

May 29, 2023By the provider in NPPES

Sex

Female

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

Locations

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

• Martin Dentistry PC

  dba Dr. Jack Holly, DDS

  • Dental Clinic/Center
  • Elizabethton, TN
  • NPI 1730757691
  NPD

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1447943352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SLAGLE RD",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376436649",
            "telephone_number": "423-360-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 HUDSON DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432881",
            "telephone_number": "423-543-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "DH0000004733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig D Schmalzried, M.D.
• Crystal Renee Schmidt, FNP-BC
• Lakeisha Schuettler, RN
• Scott O Caudle (Mountain Family Medicine)
• Cassidy Frances Sellner, COTA
• Lincoln Shelton, LPC,MHSP
• Karissa Ann Shepard, RN
• Amber L Shepherd, LPN
• Jonia Carol Shepherd, PTA
• Sheila M Shepherd, FNP

• Dental Hygienist in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.