| Paul A. Shepherd D.m.d.,m.s. | |
|
125 Eagles Pointe Pkwy Suite 200 Stockbridge GA 30281-6379 | |
| (770) 474-0007 | |
| (770) 474-5453 |
| Full Name | Paul A. Shepherd D.m.d.,m.s. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 125 Eagles Pointe Pkwy, Stockbridge, Georgia |
| Authorized Official Name and Position | Paul A Shepherd (ENDODONTIST) |
| Authorized Official Contact | 7704740007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A. Shepherd D.m.d.,m.s. 125 Eagles Pointe Pkwy Suite 200 Stockbridge GA 30281-6379 Ph: (770) 474-0007 | Paul A. Shepherd D.m.d.,m.s. 125 Eagles Pointe Pkwy Suite 200 Stockbridge GA 30281-6379 Ph: (770) 474-0007 |
| NPI Number | 1649395344 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649395344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN012712 (Georgia) | Primary |
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