Healthcare Provider Details

I. General information

NPI: 1114778321
Provider Name (Legal Business Name): CASSANDRA SHELLEY DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 BILTMORE AVE
ASHEVILLE NC
28801-4120
US

IV. Provider business mailing address

257 BILTMORE AVE
ASHEVILLE NC
28801-4120
US

V. Phone/Fax

Practice location:
  • Phone: 828-285-0622
  • Fax:
Mailing address:
  • Phone: 828-285-0622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14235
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: