Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN BRENT SHEDLOCK, DDS
Active Sole ProprietorDR. KEVIN BRENT SHEDLOCK, DDS is a Dentist healthcare provider located in GLENNALLEN, Alaska. NPI 1912241704 is currently active in the NPPES registry. Verify at CMS.
Dentist · GLENNALLEN, AK
Registration Details
- NPI Number
- 1912241704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2012 (13.740654133219 yrs)
- Last Updated
- Nov 16, 2012
- License
-
AA1001 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
MILE 187.5 GLENN HWYGLENNALLEN, AK, 99588Browse AK providers · Browse ZIP 99588
- Phone
- 9078223113
- Primary Specialty
-
Dentist
122300000X
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.