Individual
DR. ADAM NICHOLAS SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
167 N 400 W, SUITE A-4, OREM, UT 84057-1909
(801) 434-5437
Mailing address
1002 S 300 W, LEHI, UT 84043-3881
(716) 868-5823
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8012319
UT
Other
Enumeration date
04/21/2009
Last updated
08/22/2016
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