MEDICARE: SHEPHERD DENTAL CORPORATION

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
1	1223P0300X	Periodontics

General Provider Information

NPI Number	:	1922933563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEPHERD DENTAL CORPORATION

Provider Business Mailing Address
First Line	:	150 E BIRCH AVE
Second Line	:
City	:	HANFORD
State	:	CA
Zip	:	93230-1409
Country	:	US
Telephone Number	:	805-441-5236
Fax Number	:

Provider Business Practice Location Address
First Line	:	1380 EL SOBRANTE RD
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92879-5759
Country	:	US
Telephone Number	:	951-698-5033
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. SLADE SHEPHERD
Credential	:	DDS,MS
Telephone Number	:	805-441-5236

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

Similar Medicare Providers

1184790131 — ELIAS, ELLIOTT, LAMPASI, FEHN, & HARRIS ADP
Practice Location Address:

1380 EL SOBRANTE RD
CORONA, CA
92879-5759

Practice Phone: 951-273-9580
Practice Fax:

1134260888 — BRIAN WILLIAM ARCHUNG DDS
Practice Location Address:

1380 EL SOBRANTE RD
CORONA, CA
92879-5759

Practice Phone: 951-273-9580
Practice Fax:

1831040195 — SABRINA LIA MONFILS PA-C
Practice Location Address:

341 MAGNOLIA AVE STE 206
CORONA, CA
92879-3332

Practice Phone: 951-554-5778
Practice Fax:

1376478065 — GALILEA MARTELL
Practice Location Address:

1295 CORONA POINTE CT STE 102
CORONA, CA
92879-1721

Practice Phone: 951-254-7862
Practice Fax:

1588599062 — DEJANIQUE SERAS-GILBERTSON
Practice Location Address:

1295 CORONA POINTE CT STE 102
CORONA, CA
92879-1721

Practice Phone: 951-254-7862
Practice Fax:

1265236681 — JAMES AUGUSTUS BRADY
Practice Location Address:

1295 CORONA POINTE CT STE 102
CORONA, CA
92879-1721

Practice Phone: 951-254-7862
Practice Fax:

Directions to “SHEPHERD DENTAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.