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Deactivated NPI 1306069331 Deactivated / Inactive NPI Male Practitioner

Thomas W Shelton

Dentist - General Practice • Perry, GA

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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, Thomas Shelton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 10, 2007
NPI Deactivation Date January 08, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Thomas Shelton was a registered Dentist - General Practice practicing in Perry, GA. Throughout an active medical career spanning 11 years, Thomas Shelton provided care at the practice location at 1102 MORNINGSIDE DR until profile deactivation on 2018-01-08.

Practice Location & Contact Primary Location

Practice Address

1102 Morningside Dr

Perry, GA 310692906

Telephone 4789872402
Fax 4789878878
Associated Practice Facility / Clinic
🏢 Perry Dental Associates Llc Facility NPI 1780830919

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Perry, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Perry, GA (3302 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA 011264

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Louis Shelton

Dentist - General Practice

NPI 1114140175

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 January 08, 2018

Record deactivated on January 08, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1102 MORNINGSIDE DR, PERRY, GA 310692906 (Tel: 4789872402)

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Updated Business Mailing Address July 08, 2007

Registered at 1102 MORNINGSIDE DR, PERRY, GA 310692906 (Tel: 4789872402)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS SHELTON

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #011264 in GA)

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Initial NPI Registration & Enumeration April 10, 2007

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: 1306069331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2007
Last Update: July 08, 2007
Deactivation Date: January 08, 2018

Mailing Address

1102 Morningside Dr

Perry, GA 310692906

Phone: 4789872402

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.