Healthcare Provider Details

I. General information

NPI: 1922005032
Provider Name (Legal Business Name): PILAR L. SHEPLAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8169 CALLE CONCORDIA STE 404 CONDOMINIO SAN VICENTE
PONCE PR
00717-1566
US

IV. Provider business mailing address

8169 CALLE CONCORDIA STE 404 CONDOMINIO SAN VICENTE
PONCE PR
00717-1566
US

V. Phone/Fax

Practice location:
  • Phone: 787-844-3136
  • Fax:
Mailing address:
  • Phone: 787-844-3136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number1041
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: