Shane Radford, DMD
Orthodontics · Southaven, MS
UnclaimedDMDNPI 1174246425
- Primary taxonomy
- 1223X0400X
- Enumerated
- 2022-09-21
- Practice location
- Southaven, MS
- Last NPPES update
- 2022-09-21
State licenses
- TN · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.