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

Shelby Denise McCormick

Individual provider Dentist · NPI 1922708247

Shelby Denise McCormick is a Dentist in Youngstown, Florida. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2023

Practice location Address checks out

12427 Highway 231
Youngstown, FL 32466-2562
Phone: (850) 753-3246
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN30962 (FL)

Record details

NPI number1922708247
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 6, 2023
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare