| Shepherd Lane Dental Associates,pc | |
|
1103 S Josey Ln Ste 707 Carrollton TX 75006-7389 | |
| (972) 416-5755 | |
| (972) 416-9812 |
| Full Name | Shepherd Lane Dental Associates,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1103 S Josey Ln Ste 707, Carrollton, Texas |
| Authorized Official Name and Position | Sammie Walker (MANAGER) |
| Authorized Official Contact | 9724165755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherd Lane Dental Associates,pc 1103 S Josey Ln Ste 707 Carrollton TX 75006-7389 Ph: (972) 416-5755 | Shepherd Lane Dental Associates,pc 1103 S Josey Ln Ste 707 Carrollton TX 75006-7389 Ph: (972) 416-5755 |
| NPI Number | 1962526020 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962526020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7005 (Texas) | Primary |
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