Organization
SHEPPARD DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH KATHRYN SHEPPARD DDS (OWNER)
(989) 786-2104
Entity
Organization
Contact information
Practice address
3051 BAY ST, LEWISTON, MI 49756-8855
(734) 250-1301
Mailing address
PO BOX 209, LEWISTON, MI 49756-0209
(989) 786-2104
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
06/01/2022
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