# ANDREW D. SHEPHARD, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548574940
- **Authorized official:** DR. ANDREW DEAN SHEPHARD D.D.S. (DENTIST)
- **Authorized official phone:** (812) 464-9061

## Contact information

- **Practice address:** 625 W MILL RD, EVANSVILLE, IN 47710-3963
- **Practice address phone:** (812) 464-9061
- **Practice address fax:** (812) 464-8737
- **Mailing address:** 625 W MILL RD, EVANSVILLE, IN 47710-3963
- **Mailing address phone:** (812) 464-9061
- **Mailing address fax:** (812) 464-8737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12011488A | IN | Yes |

## Other

- **Enumeration date:** 07/28/2010
- **Last updated:** 07/28/2010