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Individual

DR. MATTHEW M SHEPPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1677 MOLALLA AVE, OREGON CITY, OR 97045-4007
(503) 650-2612
(503) 650-2619
Mailing address
1677 MOLALLA AVE, OREGON CITY, OR 97045-4007
(503) 650-2612
(503) 650-2619

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D07904
AZ
1223G0001X
General Practice Dentistry
Primary
D8984
OR

Other

Enumeration date
08/28/2007
Last updated
09/05/2014
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