Stacey Elizabeth Shelton, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3103-99 Issued in MS

Practice address

415 N Gloster St
Tupelo, MS 38804-3625

Phone

(662) 842-2055

Fax

(662) 680-4787

NPI assigned

Feb 10, 2007

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

Other names 1

• Dr. Beth Abel Shelton Professional name

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.

• Beth a. Shelton D.M.D., PA

  • General Practice Dentistry
  • Tupelo, MS
  • NPI 1467649087
  NPD (past)

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750422713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043625",
            "telephone_number": "662-842-2055",
            "fax_number": "662-680-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043625",
            "telephone_number": "662-842-2055",
            "fax_number": "662-680-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "STACEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3103-99",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "SHELTON",
            "middle_name": "ABEL",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Walter Dale Sharp, RPH
• Clyde Alexander Sheehan, M.D.
• Christa Sheffield
• Rebecca P Sheffield, OTR/L
• Nickeda D Shelton, LPC, NCC,NCSC
• Tyneshia Shelton
• Mark D Shepherd, M.D.
• Diane Michelle Sherrod, M.S.C.E.
• Sherry a. Martin Endocrine Clinic
• Porsha Shields

• General Practice Dentistry in Tupelo, MS
• Providers in Tupelo, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.