Jerry David Shepherd in Surfside Beach - General Practice
Jerry David Shepherd - NPI 1508831371
Jerry David Shepherd is a General Practice in Surfside Beach, South Carolina. Jerry David Shepherd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry David Shepherd is 1508831371. The last update date is 2023-04-27.
Jerry David Shepherd's current location address is 1663 Glenns Bay Rd, Surfside Beach, South Carolina. You can contact this provider via phone number 8432156080. The mailing address for Jerry David Shepherd is 1663 Glenns Bay Rd, Surfside Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry David Shepherd |
|---|---|
| Address | 1663 Glenns Bay Rd, Surfside Beach, South Carolina |
| Phone Number | 8432156080 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1508831371 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2023-04-27 |
Provider Mailing Address Detail
| Address | 1663 Glenns Bay Rd |
|---|---|
| City | Surfside Beach |
| State | South Carolina (SC) |
| Post Code | 295754836 |
| Phone Number | 8432156080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3418 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Jerry David Shepherd?
The Jerry David Shepherd has been issued the NPI (National Provider Identifier) 1508831371 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jerry David Shepherd is physically located?
The Jerry David Shepherd is physically situated at the following address: 1663 Glenns Bay Rd, Surfside Beach, SC, 295754836.
What is Jerry David Shepherd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerry David Shepherd is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When was the Jerry David Shepherd's 1508831371 issued?
The Jerry David Shepherd's 1508831371 was issued on 2006-02-22.
As of what date were the details related to Jerry David Shepherd most recently updated or revised?
The information pertaining to Jerry David Shepherd, including its address, specialty, and other relevant details, was last updated or revised on 2023-04-27.
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