| Dr Travis Trent Shepherd, DMD | |
|
901 Center Street West Ste. A, Kimberly, ID 83341 | |
| (208) 423-5001 | |
| (208) 423-4867 |
| Full Name | Dr Travis Trent Shepherd |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 901 Center Street West Ste. A, Kimberly, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083888580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3277 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Travis Trent Shepherd, DMD 610 Garnet Dr, Kimberly, ID 83341-1942 Ph: (505) 787-0082 | Dr Travis Trent Shepherd, DMD 901 Center Street West Ste. A, Kimberly, ID 83341 Ph: (208) 423-5001 |
Dr. Shannon Widmier, D.D. S. P.A. Dentist Medicare: Medicare Enrolled Practice Location: 702 Center Street West, Kimberly, ID 83341 Phone: 208-423-6444 Fax: 208-423-6903 | |
Dr. Kent J. Allen, D.D.S.P.A. Dentist Medicare: Not Enrolled in Medicare Practice Location: 702 Center Street West, Kimberly, ID 83341 Phone: 208-423-6444 Fax: 208-423-6903 | |
Dr. Danton Lafey Bradshaw, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 702 Center St W, Kimberly, ID 83341 Phone: 208-423-6444 Fax: 208-423-6903 |