Wayne Shepherd

NPI #1790822146 in Rockledge, Florida

Provider Information

NPI Number: 1790822146
Entity Type: Individual
Name: Wayne Shepherd
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1264 US HIGHWAY 1
City: Rockledge
State: Florida
ZIP Code: 32955-2746
Phone: (321) 632-1820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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