| Sheppard Periodontics, SC | |
|
990 Grand Canyon Pkwy Suite 320 Hoffman Estates IL 60169-1739 | |
| (847) 885-1664 | |
| (847) 885-1705 |
| Full Name | Sheppard Periodontics, SC |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 990 Grand Canyon Pkwy, Hoffman Estates, Illinois |
| Authorized Official Name and Position | Kimberly Dawn Sheppard (PRESIDENT/PERIODONTIST) |
| Authorized Official Contact | 8478851664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheppard Periodontics, SC 990 Grand Canyon Pkwy Suite 320 Hoffman Estates IL 60169-1739 Ph: (847) 885-1664 | Sheppard Periodontics, SC 990 Grand Canyon Pkwy Suite 320 Hoffman Estates IL 60169-1739 Ph: (847) 885-1664 |
| NPI Number | 1851566400 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851566400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 019026359 (Illinois) | Primary |
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