Individual
WILLIAM DANIEL SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2200 E PARRISH AVE, LL102 BLDG B, OWENSBORO, KY 42303-1449
(270) 683-3663
(270) 683-6165
Mailing address
2200 E PARRISH AVE, LL102 BLDG B, OWENSBORO, KY 42303-1449
(270) 683-3663
(270) 683-6165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4024
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60040243
—
KY
Enumeration date
10/14/2006
Last updated
07/08/2007
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