Keith E Shepard is a Dentist in Smyrna, Georgia. Keith E Shepard practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keith E Shepard is 1386855880. The last update date is 2013-07-26.
Keith E Shepard's current location address is 705 Windy Hill Rd Se, Smyrna, Georgia. You can contact this provider via phone number 7708011641 and fax number 7708010587. The mailing address for Keith E Shepard is 705 Windy Hill Rd Se, Smyrna, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith E Shepard |
|---|---|
| Address | 705 Windy Hill Rd Se, Smyrna, Georgia |
| Phone Number | 7708011641 |
| Fax Number | 7708010587 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1386855880 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2013-07-26 |
Provider Mailing Address Detail
| Address | 705 Windy Hill Rd Se |
|---|---|
| City | Smyrna |
| State | Georgia (GA) |
| Post Code | 300801854 |
| Phone Number | 7708011641 |
| Fax Number | 7708010587 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN014208 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003122728B | GA | -- |
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What is the unique 10-digit identifier code issued to Keith E Shepard by the Centers for Medicare & Medicaid Services?
The Keith E Shepard has been assigned the NPI (National Provider Identifier) 1386855880 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Keith E Shepard's facilities are geographically located?
The facilities of Keith E Shepard are physically situated at the following location: 705 Windy Hill Rd Se, Smyrna, GA, 300801854.
What is the Keith E Shepard's specialty and taxonomy code?
The Keith E Shepard's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386855880 to Keith E Shepard?
The Keith E Shepard received its 1386855880 assignment from the Centers for Medicare & Medicaid Services on 2007-05-25.
When was the information related to Keith E Shepard most recently updated or refreshed?
The details pertaining to the Keith E Shepard, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-26.
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