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

Lee Stephen Shackelford, DDS

Individual provider Dentist · NPI 1780955542

Lee Stephen Shackelford, DDS is a Dentist in Vinita, Oklahoma. Licensed in California, Missouri and Oklahoma. Registered with an NPI since 2012.

Licensed in
CA, MO, OK
In the registry since
2012
Specialties on file
3
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

27515 S 4410 Rd
Vinita, OK 74301
Phone: (918) 256-4800
Fax: (918) 258-4586
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6569 (OK)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2004032896 (MO)
General Practice Dentistry Taxonomy 1223G0001X · Licence 35652 (CA)

Record details

NPI number1780955542
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 25, 2012
Last updated in NPPESMarch 19, 2015
Mailing address27515 S. 4410 Rd., Vinita, OK 74301

Other providers in Vinita