Individual
DR. ROBERT SCOTT SHEPERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2325 SUMMIT PARK DR, SUITE D, PETOSKEY, MI 49770-8774
(231) 487-1020
(231) 487-9003
Mailing address
2325 SUMMIT PARK DR, SUITE D, PETOSKEY, MI 49770-8774
(231) 487-1020
(231) 487-9003
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901017131
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DI019967
NJ
Other
Enumeration date
09/09/2005
Last updated
03/10/2008
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