| Sheppard Dental Group Llc | |
|
3051 Bay St Lewiston MI 49756-8855 | |
| (734) 250-1301 | |
| Not Available |
| Full Name | Sheppard Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3051 Bay St, Lewiston, Michigan |
| Authorized Official Name and Position | Rebekah Kathryn Sheppard (OWNER) |
| Authorized Official Contact | 9897862104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheppard Dental Group Llc Po Box 209 Lewiston MI 49756-0209 Ph: (989) 786-2104 | Sheppard Dental Group Llc 3051 Bay St Lewiston MI 49756-8855 Ph: (734) 250-1301 |
| NPI Number | 1073275376 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073275376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |