Shepard Family Dentistry, P.c. | |
3911 Coon Rapids Blvd Nw Coon Rapids MN 55433-2520 | |
(763) 421-0770 | |
(763) 421-0772 |
Full Name | Shepard Family Dentistry, P.c. |
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Speciality | Clinic/center - Dental |
Location | 3911 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
Authorized Official Name and Position | Clayton Roland Shepard (DENTIST) |
Authorized Official Contact | 7634210770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shepard Family Dentistry, P.c. 3911 Coon Rapids Blvd Nw Coon Rapids MN 55433-2520 Ph: (763) 421-0770 | Shepard Family Dentistry, P.c. 3911 Coon Rapids Blvd Nw Coon Rapids MN 55433-2520 Ph: (763) 421-0770 |
NPI Number | 1982305454 |
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Provider Enumeration Date | 03/13/2023 |
Last Update Date | 03/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982305454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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