Individual
DR. JACOB SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 N 4TH AVE, HOPEWELL, VA 23860-2504
(804) 458-3004
(804) 458-3056
Mailing address
2105 ACADEMY RD STE J, POWHATAN, VA 23139-5829
(804) 598-8951
(804) 598-7527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414898
VA
Other
Enumeration date
06/17/2015
Last updated
10/28/2019
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