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NPI Code Detail

MEDICARE: DR. JOHN T SHEPHERD DDS

MEDICARE: DR. JOHN T SHEPHERD DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist12147TX

General Provider Information

NPI Number : 1699943159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN T SHEPHERD DDS
Provider Business Mailing Address
First Line : 1108 N MECHANIC ST
Second Line :
City : EL CAMPO
State : TX
Zip : 77437-3030
Country : US
Telephone Number : 979-541-5400
Fax Number :
Provider Business Practice Location Address
First Line : 1108 N MECHANIC ST
Second Line :
City : EL CAMPO
State : TX
Zip : 77437-3030
Country : US
Telephone Number : 979-541-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2008
Last Update Date : 12/21/2016

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Directions to “ DR. JOHN T SHEPHERD DDS” Practice Location

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