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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN BRENT SHEDLOCK, DDS, PC

Active Organization

Dental Clinic · GLENNALLEN, AK

Registration Details

NPI Number
1336547926
Provider Type
Organization
NPI Issued
Dec 12, 2014 (11.375858641599 yrs)
Last Updated
Dec 12, 2014
License
1001 (AK)

Practice Information

Address
MILE 187 GLENN HIGHWAY
GLENNALLEN, AK, 99588
Browse AK providers · Browse ZIP 99588
Phone
9073200455
Primary Specialty
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.