Provider Demographics
NPI:1134014129
Name:ASHLEY, DREW SHELTON (DDS)
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:SHELTON
Last Name:ASHLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 W FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-5119
Mailing Address - Country:US
Mailing Address - Phone:812-424-6761
Mailing Address - Fax:812-424-7331
Practice Address - Street 1:2300 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-5119
Practice Address - Country:US
Practice Address - Phone:812-424-6761
Practice Address - Fax:812-424-7331
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014774A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist