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

DR. CASEY RUSSELL SHEPHERD, DMD MD

Active

DR. CASEY RUSSELL SHEPHERD, DMD MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in KALISPELL, Montana. NPI 1720305741 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · KALISPELL, MT

Registration Details

NPI Number
1720305741
Provider Type
Individual
Gender
Male
NPI Issued
Apr 30, 2010 (16.252112337838 yrs)
Last Updated
Aug 10, 2021
Licenses
11502 (MT)
11502 (MT)

Practice Information

Address
180 TIMBERWOLF PKWY
KALISPELL, MT, 599011218
Browse MT providers · Browse ZIP 59901
Phone
4067556014
Fax
4067556094
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X

Other Oral & Maxillofacial Surgery (Physician) Providers in KALISPELL, MT

Name Credential NPI
JOSHUA BLANTON-DICKENS DMD 1063875946
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.