Sheppard Dental Group Llc | |
3051 Bay St Lewiston MI 49756-8855 | |
(734) 250-1301 | |
Not Available |
Full Name | Sheppard Dental Group Llc |
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Speciality | Clinic/center - Dental |
Location | 3051 Bay St, Lewiston, Michigan |
Authorized Official Name and Position | Rebekah Kathryn Sheppard (OWNER) |
Authorized Official Contact | 9897862104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sheppard Dental Group Llc Po Box 209 Lewiston MI 49756-0209 Ph: (989) 786-2104 | Sheppard Dental Group Llc 3051 Bay St Lewiston MI 49756-8855 Ph: (734) 250-1301 |
NPI Number | 1073275376 |
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Provider Enumeration Date | 10/13/2021 |
Last Update Date | 06/01/2022 |
Identifier | Type | State | Issuer |
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1073275376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |