DR. Michael Derae Sheppard, DDS

NPI #1871547893 in Mansfield, Texas

Provider Information

NPI Number
1871547893
Entity Type
Individual
Name
DR. Michael Derae Sheppard, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
May 22, 2006
Last Updated
Mar 25, 2009

Practice Location

Address
2310 FM 157 NORTH
Address 2
SUITE 103
State
Texas
ZIP Code
76063
Phone
(817) 477-0922

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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