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

DR. JERRY DAVID SHEPHERD II, DDS

Active

DR. JERRY DAVID SHEPHERD II, DDS is a General Dentistry healthcare provider located in SURFSIDE BEACH, South Carolina. NPI 1508831371 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SURFSIDE BEACH, SC

Registration Details

NPI Number
1508831371
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2006 (20.48723107959 yrs)
Last Updated
Apr 27, 2023
Licenses
3418 (WV)
10022 (SC)

Practice Information

Address
1663 GLENNS BAY RD
SURFSIDE BEACH, SC, 295754836
Browse SC providers · Browse ZIP 29575
Phone
8432156080
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in SURFSIDE BEACH, SC

Name Credential NPI
MS. ALINA ROSE DMD, DDS 1598963100
DR. DANIEL WALTER MILLER III DMD 1164603429
EDWARD H GOLDBERG IV 1770857799
DR. JULIE OBENCHAIN 1104190131
JOSEPH HAROLD CAPPS JR. 1710251731
RAYMOND E CLEARY III DDS 1134493141
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.