Individual
DR. RONALD DOUGLAS SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 SOUTHRIDGE RD, TERRE HAUTE, IN 47802-4962
(812) 298-8128
Mailing address
10 SOUTHRIDGE RD, TERRE HAUTE, IN 47802-4962
(812) 298-8128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6775
KY
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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