Individual
ERNEST E. SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4206 SW LEE BLVD, LAWTON, OK 73505-8331
(580) 355-3065
(580) 355-3084
Mailing address
4206 SW LEE BLVD, LAWTON, OK 73505-8331
(580) 355-3065
(580) 355-3084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4492
OK
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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