Individual
DR. SCOTT SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4206 SW LEE BLVD, LAWTON, OK 73505-8331
(580) 355-3065
Mailing address
4206 SW LEE BLVD, LAWTON, OK 73505-8331
(580) 355-3065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6750
OK
Other
Enumeration date
07/07/2015
Last updated
01/20/2021
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