Individual
DR. JOHN STEPHEN SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1525 RIVERSIDE AVE, SUITE B, FORT COLLINS, CO 80524-4390
(970) 493-9001
(970) 407-1742
Mailing address
1525 RIVERSIDE AVE, SUITE B, FORT COLLINS, CO 80524-4390
(970) 493-9001
(970) 407-1742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3413
CO
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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