# INFINITY DENTAL PLLC

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

## Provider details

- **NPI number:** 1700241890
- **Authorized official:** DR. TRAVIS TRENT SHEPHERD D.M.D. (PRESIDENT)
- **Authorized official phone:** (505) 787-0072

## Contact information

- **Practice address:** 622 CENTER ST W, KIMBERLY, ID 83341-1720
- **Practice address phone:** (208) 423-5001
- **Practice address fax:** (208) 423-4867
- **Mailing address:** 610 GARNET DR, KIMBERLY, ID 83341-1942
- **Mailing address phone:** (605) 797-0082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-4720 | ID | Yes |

## Other

- **Enumeration date:** 12/16/2015
- **Last updated:** 12/16/2015