Individual
DR. JOHN MURDAUGH SHEPHERD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5249 OLDE TOWNE RD, OLDE TOWNE MEDICAL CENTER, WILLIAMSBURG, VA 23188-8111
(757) 259-3255
Mailing address
218 KINGS GRANT DR, YORKTOWN, VA 23692-3627
(757) 898-7078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401003167
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004909976
—
VA
Enumeration date
06/21/2007
Last updated
04/18/2011
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