● Active Type 1 · Individual

Connor Shelton

Dentist·Atlanta, GA· NPI 1376238105 · Enumerated 2023 · 3 years on NPI

Shelton is 1 of 283 dentist providers in Atlanta and 1 of 2660 in Georgia.

NPI age

3 years

Enumerated 2023-04-07

Primary specialty

Dentist

Plus 1 subspecialty

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2024-07-02

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age

3 years

↓ 11 yr below median (14 yr)

State licenses

1 state

9% of peers hold multiple states

Subspecialties

In the 16% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-04Enumerated in NPPES

2023 2026

Where they practice

Practice location

341 Ponce De Leon Ave Ne

Atlanta, GA 303082012

📞 4046169770

Mailing address

2108 Autumnwood Dr Sw

Hartselle, AL 356403881

📞 2563098615

Specialties

Dental Providers › Dentist

Dentist Primary

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...

GA license #DN123362 taxonomy 122300000X
Student in an Organized Health Care Education/Training Program

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

taxonomy 390200000X

Practice context

Part of a multi-provider practice. 66 other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new dentist providers have been added in Atlanta in the last 180 days. See all →

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.