Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1407003825 Deactivated / Inactive NPI Male Practitioner

Dr. George Michael Shellum , DDS

Dentist • La Jolla, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. George Shellum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 27, 2008
NPI Deactivation Date April 02, 2026
Total Practice Duration ~18 Years of Practice (2008 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. George Shellum, DDS was a registered Dentist practicing in La Jolla, CA. Throughout an active medical career spanning 18 years, Dr. Shellum provided care at the practice location at 5666 LA JOLLA BLVD # 11 until profile deactivation on 2026-04-02.

Practice Location & Contact Primary Location

Practice Address

5666 La Jolla Blvd # 11

La Jolla, CA 920377523

Telephone 8582453530

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in La Jolla, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
49 Specialists

Practicing in La Jolla, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 24403

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 02, 2026

Record deactivated on April 02, 2026

NPI Profile Active August 27, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 27, 2008

Registered at 5666 LA JOLLA BLVD # 11, LA JOLLA, CA 920377523 (Tel: 8582453530)

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Updated Business Mailing Address August 27, 2008

Registered at 5666 LA JOLLA BLVD # 11, LA JOLLA, CA 920377523 (Tel: 8582453530)

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Provider Name / Credentials Updated August 27, 2008

Recorded as GEORGE SHELLUM, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2008

Dentist (License #24403 in CA)

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Initial NPI Registration & Enumeration August 27, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407003825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2008
Last Update: August 27, 2008
Deactivation Date: April 02, 2026

Mailing Address

5666 La Jolla Blvd # 11

La Jolla, CA 920377523

Phone: 8582453530

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.