| William T Shepherd, Jr DDS | |
|
1242 W 42nd Ave Pine Bluff AR 71603-7109 | |
| (870) 535-0301 | |
| (870) 535-5724 |
| Full Name | William T Shepherd, Jr DDS |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1242 W 42nd Ave, Pine Bluff, Arkansas |
| Authorized Official Name and Position | William Toler Shepherd (DDS) |
| Authorized Official Contact | 8705350301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William T Shepherd, Jr DDS 1242 W 42nd Ave Pine Bluff AR 71603-7109 Ph: (870) 535-0301 | William T Shepherd, Jr DDS 1242 W 42nd Ave Pine Bluff AR 71603-7109 Ph: (870) 535-0301 |
| NPI Number | 1578153540 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578153540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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