Organization
SHEPPARD DENTAL HEALTH AND ASSOCIATES
Active
Other names
Alpine Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH KATHRYN SHEPPARD DDS (DENTIST)
(989) 732-8600
Entity
Organization
Contact information
Practice address
3096 W M 32, GAYLORD, MI 49735-9753
(989) 732-8600
Mailing address
3096 W M 32, GAYLORD, MI 49735-9753
(989) 732-8600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861787350
PROVIDER NPI
MI
Enumeration date
04/30/2019
Last updated
06/11/2019
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