| Matthew M Sheppard D.m.d L.l.c. | |
|
15962 Boones Ferry Rd Ste 208 Lake Oswego OR 97035-4360 | |
| (503) 636-8154 | |
| Not Available |
| Full Name | Matthew M Sheppard D.m.d L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15962 Boones Ferry Rd Ste 208, Lake Oswego, Oregon |
| Authorized Official Name and Position | Matthew M Sheppard (DENTIST) |
| Authorized Official Contact | 5036368154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew M Sheppard D.m.d L.l.c. 15962 Boones Ferry Rd Ste 208 Lake Oswego OR 97035-4360 Ph: () - | Matthew M Sheppard D.m.d L.l.c. 15962 Boones Ferry Rd Ste 208 Lake Oswego OR 97035-4360 Ph: (503) 636-8154 |
| NPI Number | 1255791117 |
|---|---|
| Provider Enumeration Date | 03/03/2016 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255791117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8984 (Oregon) | Primary |
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