Organization
NORTH JACKSON DENTAL CARE
Active
Other names
Stephen Scott Shepherd DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN SCOTT SHEPHERD DMD (DR PRESIDENT OF CORPORATION)
(256) 437-2191
Entity
Organization
Contact information
Practice address
105 ADAMS STREET, STEVENSON, AL 35772
(256) 437-2191
(256) 437-1066
Mailing address
105 ADAMS STREET, STEVENSON, AL 35772
(256) 437-2191
(256) 437-1066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3796
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3093026
BLUE CROSS BLUE SHIELD
TN
01
—
595965
UNITED CONCORDIA
—
Enumeration date
10/26/2006
Last updated
08/22/2020
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