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

Individual provider General Practice Dentistry · NPI 1104484203

Ethan John Howard Shelton, DMD is a General Practice Dentistry in Paducah, Kentucky. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019
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

2018 Broadway St
Paducah, KY 42001-7108
Phone: (270) 443-9099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4155 N Mount Juliet Rd, Mount Juliet, TN 37122-3049 — (615) 241-8023

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11060 (TN)

Record details

NPI number1104484203
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 3, 2019
Last updated in NPPESOctober 1, 2019

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