Individual
MC KAID SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
918 GRAND AVE, BILLINGS, MT 59102-3302
(406) 625-3000
Mailing address
4401 BLUE DEVILS WAY APT 3, BILLINGS, MT 59106-3721
(208) 339-4394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21465
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2020
Last updated
08/30/2021
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