Doctor profile · Federal record
Dr. Robert Shackelford, DDS
General Practice Dentistry · Suwanee, GA
- NPI 1114116365
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3915 Johns Creek CT, Ste 110
Suwanee, GA 300241265
(770) 442-8472
fax (770) 751-6880 - Mailing address
-
3915 Johns Creek CT Ste 110
Suwanee, GA 300241265
Credentials & registration
- NPI registered
- October 2007 — 19 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Georgia #9972
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114116365. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Benco Dental Supply Co. | 1 | $14.56 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
32
Patients
11
Total drug cost
$416
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prevident (Fluoride (Sodium)) | Brand | 19 | 0 | $383 |
| Amoxicillin | Generic | 13 | 11 | $32 |
Frequently asked questions
What is Dr. Robert Shackelford's medical specialty?
Dr. Robert Shackelford practices General Practice Dentistry in Suwanee, GA.
Where does Dr. Robert Shackelford practice?
Dr. Robert Shackelford practices at 3915 Johns Creek CT, Suwanee, GA 300241265. Office phone: 7704428472.
What is Dr. Robert Shackelford's NPI?
Dr. Robert Shackelford's National Provider Identifier (NPI) is 1114116365, issued by NPPES.