P Praxis·MD
● Active Type 1 · Individual

DR. Kenneth L. Shackle, D.D.S.

Dentist·Savannah, GA· NPI 1861468191 · Enumerated 2006 · 20 years on NPI
Shackle is 1 of 129 dentist providers in Savannah and 1 of 4309 in Georgia.
NPI age
20 years
Enumerated 2006-02-27
Primary specialty
Dentist
Licensed in
SC
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-05-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
230 Duncan Dr, Bldg. 1440 - Haaf
Savannah, GA 314095107
📞 9123155417
Mailing address
25 Chickadee Rd
Hilton Head Island, SC 299261806
📞 8436814142

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    SC license #2955 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in Savannah in the last 180 days. See all →
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How to verify this provider

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

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