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DR. STEPHEN SCOTT SHEPHERD DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1770643371

Individual Registrant:
DR. STEPHEN SCOTT SHEPHERD DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
105 ADAMS STREET  STEVENSON, AZ 35772 US
Tel: 256-437-2191  Fax: 256-437-1066

Contact information for business:
105 ADAMS STREET  STEVENSON, AZ 35772 US
Tel: 256-437-2191  Fax: 256-437-1066

Registration Information:
NPI: 1770643371
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AL3796

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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