DR. Casey Russell Shepherd, DMD MD

NPI #1720305741 in Kalispell, Montana

Provider Information

NPI Number: 1720305741
Entity Type: Individual
Name: DR. Casey Russell Shepherd, DMD MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Oral & Maxillofacial Surgery
Credential: DMD MD
Enumeration Date: Apr 30, 2010
Last Updated: Aug 10, 2021

Practice Location

Address: 180 TIMBERWOLF PKWY
City: Kalispell
State: Montana
ZIP Code: 59901-1218
Phone: (406) 755-6014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Oral & Maxillofacial Surgery	204E00000X	Primary

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Organizations

Provider Name	Specialty	City
Kalispell Oral Surgery Center LLC	Oral & Maxillofacial Surgery	Kalispell	AI Deep Dive

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