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

Dr. Shane Radford, DMD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1174246425

Dr. Shane Radford, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in Southaven, Mississippi. Licensed in Tennessee. Registered with an NPI since 2022.

Licensed in
TN
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2925 Nail Rd E Ste 2
Southaven, MS 38672-6707
Phone: (662) 536-3661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 11860 (TN)

Record details

NPI number1174246425
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 21, 2022
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

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