Individual
DR. JERRY DAVID SHEPHERD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1663 GLENNS BAY RD, SURFSIDE BEACH, SC 29575-4836
(843) 215-6080
Mailing address
1663 GLENNS BAY RD, SURFSIDE BEACH, SC 29575-4836
(843) 215-6080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10022
SC
1223G0001X
General Practice Dentistry
3418
WV
Other
Enumeration date
02/22/2006
Last updated
04/27/2023
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