Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Clint Tyler Shelley, DDS

Individual provider General Practice Dentistry · NPI 1922257021

Dr. Clint Tyler Shelley, DDS is a General Practice Dentistry in Fort Bragg, North Carolina. Licensed in Utah. Registered with an NPI since 2008.

Licensed in
UT
In the registry since
2008
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4861 Logistics Ave
Fort Bragg, NC 28310-0001
Phone: (910) 907-9060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 7066379-9921 (UT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 7066379-9921 (UT)

Record details

NPI number1922257021
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 12, 2008
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing address4861 Logistics Ave, Fort Bragg, NC 28310-0001

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