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

Dr. Jonathan David Shadburne, DMD

Individual provider General Practice Dentistry · NPI 1861981979

Dr. Jonathan David Shadburne, DMD is a General Practice Dentistry in Gallatin, Tennessee. Licensed in Ohio and Tennessee. Registered with an NPI since 2018.

Licensed in
OH, TN
In the registry since
2018
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

124 Goodview Way Ste B
Gallatin, TN 37066-4927
Phone: (615) 575-3344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 11282 (TN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 30.025658 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861981979
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 3, 2018
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023
Mailing address124 Goodview Way Ste B, Gallatin, TN 37066-4927

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