DR. Ron D Sheppard, DDS

NPI #1063560175 in Idaho Falls, Idaho

Provider Information

NPI Number
1063560175
Entity Type
Individual
Name
DR. Ron D Sheppard, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jan 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2300 E 17TH ST
State
Idaho
ZIP Code
83404-6504
Phone
(208) 525-8383

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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