Michael Derae Sheppard in Mansfield - Oral And Maxillofacial Surgery
Michael Derae Sheppard - NPI 1871547893
Michael Derae Sheppard is a Oral And Maxillofacial Surgery in Mansfield, Texas. Michael Derae Sheppard practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Michael Derae Sheppard is 1871547893. The last update date is 2009-03-25.
Michael Derae Sheppard's current location address is 2310 Fm 157 North, Mansfield, Texas. You can contact this provider via phone number 8174770922 and fax number 8174770910. The mailing address for Michael Derae Sheppard is 2310 Fm 157 North, Mansfield, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Derae Sheppard |
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Address | 2310 Fm 157 North, Mansfield, Texas |
Phone Number | 8174770922 |
Fax Number | 8174770910 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1871547893 |
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Provider Enumeration Date | 2006-05-22 |
Last Updated Date | 2009-03-25 |
Provider Mailing Address Detail
Address | 2310 Fm 157 North |
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City | Mansfield |
State | Texas (TX) |
Post Code | 76063 |
Phone Number | 8174770922 |
Fax Number | 8174770910 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 21182 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique identifier code issued to Michael Derae Sheppard by the Centers for Medicare & Medicaid Services?
The Michael Derae Sheppard has been assigned the NPI (National Provider Identifier) 1871547893. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Derae Sheppard?
The Michael Derae Sheppard is situated at 2310 Fm 157 North, in the city of Mansfield, state of TX, with the zip code 76063.
What is Michael Derae Sheppard's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Derae Sheppard is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
When did the Michael Derae Sheppard receive its 1871547893?
The Michael Derae Sheppard was issued its 1871547893 on 2006-05-22, which is the date when the organization was assigned this unique identifier.
When was the information regarding Michael Derae Sheppard most recently updated?
The details pertaining to the Michael Derae Sheppard, including its address, specialty, and other relevant information, were last refreshed on 2009-03-25.