Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104484203 Individual Practitioner Male Practitioner

Dr. Ethan John Howard Shelton , DMD

Dentist - General Practice • Paducah, KY

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Shelton, DMD is a registered healthcare professional specializing in Dentist - General Practice in Paducah, KY. Practice services are available at 2018 BROADWAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2018 Broadway St

Paducah, KY 420017108

Telephone 2704439099
Associated Practice Facility / Clinic
🏢 Broadway Dental Care Facility NPI 1194137141

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Paducah, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
36 Specialists

Practicing in Paducah, KY (1699 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 TN 11060

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.

Secondary Practice Locations

4155 N Mount Juliet Rd

Mount Juliet, TN 371223049

Phone: 6152418023

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. James Hunt , DMD

Dentist - General Practice

NPI 1144634551

Doctor of Dental Medicine

Dr. Kathy Slaughter , DMD

Dentist - General Practice

NPI 1770663007

Doctor of Dental Medicine

Dr. Kinney Slaughter , DMD

Dentist - General Practice

NPI 1821179664

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 01, 2019

Registered at 2018 BROADWAY ST, PADUCAH, KY 420017108 (Tel: 2704439099)

NPI Profile Active June 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2019

Registered at 4155 N MOUNT JULIET RD, MOUNT JULIET, TN 371223049 (Tel: 6152418023)

📍
Updated Business Mailing Address June 03, 2019

Registered at 117 30TH AVE N APT 304, NASHVILLE, TN 372031395 (Tel: 6186383868)

👤
Provider Name / Credentials Updated June 03, 2019

Recorded as ETHAN SHELTON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2019

Dentist (License #11060 in TN)

🟢
Initial NPI Registration & Enumeration June 03, 2019

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: 1104484203
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2019
Last Update: October 01, 2019
Sole Proprietor: No

Mailing Address

117 30th Ave N Apt 304

Nashville, TN 372031395

Phone: 6186383868

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.