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Active NPI 1861468191 Individual Practitioner Male Practitioner

Dr. Kenneth L. Shackle , DDS

Dentist - General Practice • Savannah, GA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Shackle, DDS is a registered healthcare professional specializing in Dentist - General Practice in Savannah, GA. Practice services are available at 230 DUNCAN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

230 Duncan Dr
Bldg. 1440 - Haaf

Savannah, GA 314095107

Telephone 9123155417
Associated Practice Facility / Clinic
🏢 Ach Winn-Ft Stewart Facility NPI 1093929804

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Savannah, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
102 Specialists

Practicing in Savannah, 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 SC 2955

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

5 Associated Practitioners
Jacqueline Julian

Dental Assistant

NPI 1053867903
Evelyn King , EFDA

Dental Assistant

NPI 1215387766
Andre Young , RDH

Dental Hygienist

NPI 1780037473

Registered Dental Hygienist

Tiniki Wilson

Dental Assistant

NPI 1871946830
Lorraine Ross , RDH

Dental Hygienist

NPI 1912357468

Registered Dental Hygienist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2015

Registered at 230 DUNCAN DR, BLDG. 1440 - HAAF, SAVANNAH, GA 314095107 (Tel: 9123155417)

📍
Updated Business Mailing Address May 13, 2015

Registered at 25 CHICKADEE RD, HILTON HEAD ISLAND, SC 299261806 (Tel: 8436814142)

👤
Provider Name / Credentials Updated May 13, 2015

Recorded as KENNETH SHACKLE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2015

Dentist (License #2955 in SC)

🟢
Initial NPI Registration & Enumeration February 27, 2006

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: 1861468191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2006
Last Update: May 13, 2015
Sole Proprietor: No

Mailing Address

25 Chickadee Rd

Hilton Head Island, SC 299261806

Phone: 8436814142

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.