Dr Kevin Brent Shedlock, DDS is a
Dentist based in Glennallen, Alaska. Dr Kevin Brent Shedlock is licensed to practice in Alaska (license number AA1001) and his current practice location is
Mile 187.5 Glenn Hwy, Glennallen, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 822-3113.
NPI number for Dr Kevin Brent Shedlock is 1912241704 and his current mailing address is Po Box 744, Glennallen, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912241704.
Healthcare Provider's Profile
| Full Name | Dr Kevin Brent Shedlock |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | Mile 187.5 Glenn Hwy, Glennallen, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912241704
- Provider Enumeration Date: 11/16/2012
- Last Update Date: 11/16/2012
Medical Identifiers
Medical identifiers for Dr Kevin Brent Shedlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912241704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | AA1001 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin Brent Shedlock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kevin Brent Shedlock, DDS
Po Box 744,
Glennallen, AK 99588-0744
Ph: (907) 822-3113 | Dr Kevin Brent Shedlock, DDS
Mile 187.5 Glenn Hwy,
Glennallen, AK 99588
Ph: (907) 822-3113 |
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