Individual
DR. JOHN EDWIN SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
438 GANTTOWN RD, STE A6, SEWELL, NJ 08080-2341
(856) 589-8012
(856) 589-8013
Mailing address
PO BOX 8548, BLACKWOOD, NJ 08012-8548
(856) 589-8012
(856) 589-8013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01177300
NJ
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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