Dr. George Michael Shellum , DDS
Dentist • La Jolla, CA
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.
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
5666 La Jolla Blvd # 11
La Jolla, CA 920377523
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in La Jolla, CA
Practicing in La Jolla, CA (15331 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
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
Record deactivated on April 02, 2026
NPI status registered as active in NPPES database
Registered at 5666 LA JOLLA BLVD # 11, LA JOLLA, CA 920377523 (Tel: 8582453530)
Registered at 5666 LA JOLLA BLVD # 11, LA JOLLA, CA 920377523 (Tel: 8582453530)
Recorded as GEORGE SHELLUM, DDS
Dentist (License #24403 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5666 La Jolla Blvd # 11
La Jolla, CA 920377523
Phone: 8582453530
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