Travis Trent Shepherd in Kimberly - General Practice
Travis Trent Shepherd - NPI 1083888580
Travis Trent Shepherd is a General Practice in Kimberly, Idaho. Travis Trent Shepherd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Travis Trent Shepherd is 1083888580. The last update date is 2022-01-28.
Travis Trent Shepherd's current location address is 610 Garnet Dr, Kimberly, Idaho. You can contact this provider via phone number 5057870082. The mailing address for Travis Trent Shepherd is 610 Garnet Dr, Kimberly, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Travis Trent Shepherd |
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Address | 610 Garnet Dr, Kimberly, Idaho |
Phone Number | 5057870082 |
Fax Number | |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1083888580 |
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Provider Enumeration Date | 2008-04-15 |
Last Updated Date | 2022-01-28 |
Provider Mailing Address Detail
Address | 610 Garnet Dr |
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City | Kimberly |
State | Idaho (ID) |
Post Code | 833411942 |
Phone Number | 5057870082 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 3277 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Travis Trent Shepherd's 1083888580?
The Travis Trent Shepherd's NPI (National Provider Identifier) Number is 1083888580. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Travis Trent Shepherd is physically located?
The Travis Trent Shepherd is situated at the following address: 610 Garnet Dr, Kimberly, ID 833411942.
What is Travis Trent Shepherd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Travis Trent Shepherd is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date was the 1083888580 assigned to Travis Trent Shepherd?
The Travis Trent Shepherd was issued its 1083888580 on 2008-04-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Travis Trent Shepherd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Travis Trent Shepherd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-01-28.
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