| Dr Clayton Roland Shepard, DDS | |
|
3911 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2520 | |
| (763) 421-0770 | |
| (763) 421-0772 |
| Full Name | Dr Clayton Roland Shepard |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 3911 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700875077 | NPI | - | NPPES |
| 320022100 | Other | MN | MEDICAL ASSISTANCE N UMBE |
| 10035MN | Other | MN | DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10035MN (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clayton Roland Shepard, DDS 3911 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2520 Ph: (763) 421-0770 | Dr Clayton Roland Shepard, DDS 3911 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2520 Ph: (763) 421-0770 |
Dr. Michele L Tafoya, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 Phone: 763-233-3390 | |
Dr. Ramon Aguirre, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3960 Coon Rapids Blvd Nw, Suite 320, Coon Rapids, MN 55433 Phone: 763-427-1720 Fax: 763-427-5659 | |
Robert Sylvester Breitbach, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2519 Coon Rapids Blvd, Coon Rapids, MN 55433 Phone: 763-755-2830 Fax: 763-755-9356 | |
Alexie Portz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13040 Riverdale Dr Nw Ste 600, Coon Rapids, MN 55448 Phone: 763-323-3042 | |
Dr. Erik William Marksberry, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10756 Butternut St Nw, Coon Rapids, MN 55448 Phone: 763-757-4170 Fax: 763-757-7940 | |
Tina A Nguyen, Dentist Medicare: Medicare Enrolled Practice Location: 13040 Riverdale Dr Nw Ste 600, Coon Rapids, MN 55448 Phone: 763-323-3042 | |
Lisa Domeyer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11441 Osage St Nw, Coon Rapids, MN 55433 Phone: 763-757-6600 Fax: 763-757-6600 |