| Walter B. Shepherd | |
|
113 E Moore St Eden NC 27288 | |
| (336) 627-5163 | |
| (336) 627-5165 |
| Full Name | Walter B. Shepherd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 113 E Moore St, Eden, North Carolina |
| Authorized Official Name and Position | Walter B Shepherd (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 3366275163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter B. Shepherd Po Box 246 Eden NC 27289-0246 Ph: (336) 627-5163 | Walter B. Shepherd 113 E Moore St Eden NC 27288 Ph: (336) 627-5163 |
| NPI Number | 1295907574 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295907574 | NPI | - | NPPES |
| 8997773 | Medicaid | NC | |
| 078247 | Other | VA | VIRGINIA BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 004113 (North Carolina) | Primary |
Rockingham Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 S Van Buren Rd, Eden, NC 27288 Phone: 336-623-2221 | |
Abbey S. Hawkins, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 W Arbor Lln, Eden, NC 27288 Phone: 336-623-9143 Fax: 336-627-0948 | |
Eden Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120b W Arbor Ln, Eden, NC 27288 Phone: 336-627-5206 |