Provider Demographics
NPI:1801926902
Name:GARNER, SHELLEY LOWE (DDS)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:LOWE
Last Name:GARNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SHELLEY
Other - Middle Name:LOWE
Other - Last Name:CLARKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 231
Mailing Address - Street 2:
Mailing Address - City:ASH FLAT
Mailing Address - State:AR
Mailing Address - Zip Code:72513-0231
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:579 HIGHWAY 62 W
Practice Address - Street 2:
Practice Address - City:ASH FLAT
Practice Address - State:AR
Practice Address - Zip Code:72513-9417
Practice Address - Country:US
Practice Address - Phone:870-994-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2944122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist