Individual
DR. SHEPPARD A. MCKENZIE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7200 STONEHENGE DR STE 104, RALEIGH, NC 27613-1620
(919) 846-2480
(919) 846-2482
Mailing address
7501 FALLS OF NEUSE ROAD, SUITE 100, RALEIGH, NC 27615
(919) 846-2480
(919) 846-2482
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8007
NC
Other
Enumeration date
03/27/2008
Last updated
04/21/2011
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