Individual
DR. LOUIS ERVIN SHEPARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
807 S PENDLETON ST, EASLEY, SC 29640-3527
(864) 859-0111
(864) 859-0112
Mailing address
807 S PENDLETON ST, EASLEY, SC 29640-3527
(864) 859-0111
(864) 859-0112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1450
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX1450
—
SC
Enumeration date
05/02/2006
Last updated
07/08/2007
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