| Dr Jeffrey Clinton Shepherd, DDS | |
|
10333 El Camino Real, Atascadero, CA 93422-5808 | |
| (805) 468-2000 | |
| (805) 468-6011 |
| Full Name | Dr Jeffrey Clinton Shepherd |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 10333 El Camino Real, Atascadero, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205050861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 32774 (California) | Primary |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Clinton Shepherd, DDS 1600 9th Street, Room 150, Fiscal Allocations And Estimates Unit, Sacramento, CA 95814-6414 Ph: (916) 651-9475 | Dr Jeffrey Clinton Shepherd, DDS 10333 El Camino Real, Atascadero, CA 93422-5808 Ph: (805) 468-2000 |
Dr. Kristin L. Newsom, DDS, MS, INC. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4260 El Camino Real, Atascadero, CA 93422 Phone: 805-461-1182 Fax: 805-461-5162 | |
Wayne Alan Pearson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8340 Morro Rd, Atascadero, CA 93422 Phone: 805-461-1000 Fax: 805-461-1049 | |
Ronald P Arnoldsen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 Fax: 805-468-6011 | |
Dr. Stefan Charles Van Harmelen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8360 Morro Rd, Atascadero, CA 93422 Phone: 805-466-6636 Fax: 805-466-5720 | |
Dr. Charles Kevin Farr, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5425 El Camino Real, Atascadero, CA 93422 Phone: 805-461-3422 Fax: 805-461-3448 | |
Dr. Cristian Amado Sierra, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5960 West Mall Ste A, Atascadero, CA 93422 Phone: 805-466-5787 Fax: 805-466-6531 |