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

DR. JACK W SHEPHERD, DMD

Active Sole Proprietor

DR. JACK W SHEPHERD, DMD is a Dentist healthcare provider located in GEORGETOWN, Kentucky. NPI 1528197548 is currently active in the NPPES registry. Verify at CMS.

Dentist · GEORGETOWN, KY

Registration Details

NPI Number
1528197548
Provider Type
Individual
Gender
Male
NPI Issued
Mar 5, 2007 (19.41340992378 yrs)
Last Updated
Jul 8, 2007
License
3473 (KY)
Sole Proprietor
Yes

Practice Information

Address
110 POCAHONTAS TRL
SUITE E
GEORGETOWN, KY, 403241167
Browse KY providers · Browse ZIP 40324
Phone
5028634651
Primary Specialty
Dentist
122300000X

Other Dentist Providers in GEORGETOWN, KY

Name Credential NPI
DR. JOANN E HOLLEN DMD 1437223674
DR. JAMES FRANKLIN LAND DMD 1134281827
DR. SERDER ABADI DMD 1427262153
DR. PHILLIP D RUSHER DMD 1588810741
DR. MARISSA RENEE EMERY DMD 1568086338
NOOR ALZAHRAA ALI DMD 1366152977
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.