| Shepherd Lane Dental | |
|
383 Huffines Plz Ste 380 Lewisville TX 75057-4674 | |
| (972) 956-9200 | |
| (972) 956-8200 |
| Full Name | Shepherd Lane Dental |
|---|---|
| Speciality | Dentist |
| Location | 383 Huffines Plz, Lewisville, Texas |
| Authorized Official Name and Position | Holland Morrison (PRESIDENT) |
| Authorized Official Contact | 9724165755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherd Lane Dental 1103 S Josey Ln Ste 707 Carrollton TX 75006-7680 Ph: (972) 416-5755 | Shepherd Lane Dental 383 Huffines Plz Ste 380 Lewisville TX 75057-4674 Ph: (972) 956-9200 |
| NPI Number | 1467751388 |
|---|---|
| Provider Enumeration Date | 03/17/2011 |
| Last Update Date | 03/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467751388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22654 (Texas) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22654 (Texas) | Secondary |
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