Individual
DR. CARL RICHARD SHEPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5577 US HIGHWAY 93 N, FLORENCE, MT 59833-6845
(406) 273-2015
(406) 273-2782
Mailing address
PO BOX 368, FLORENCE, MT 59833-0368
(406) 273-2015
(406) 273-2782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111673
—
MT
01
—
1184385551
TYPE 2 NPI
—
01
—
5511428
MT STATE CHIP PROGRAM
MT
Enumeration date
08/31/2006
Last updated
08/08/2022
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