North Jackson Dental Care

NPI #1659456879 in Stevenson, Alabama

Provider Information

NPI Number: 1659456879
Entity Type: Organization
Organization Name: North Jackson Dental Care
Primary Specialty: Dentist
Enumeration Date: Oct 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 105 ADAMS STREET
City: Stevenson
State: Alabama
ZIP Code: 35772
Phone: (256) 437-2191

Authorized Official

Name: DR. STEPHEN SCOTT SHEPHERD, DMD
Title: DR PRESIDENT OF CORPORATION
Phone: (256) 437-2191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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