DR. Kevin Brent Shedlock, DDS

NPI #1912241704 in Glennallen, Alaska

Provider Information

NPI Number: 1912241704
Entity Type: Individual
Name: DR. Kevin Brent Shedlock, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 16, 2012
Last Updated: Nov 16, 2012

Practice Location

Address: MILE 187.5 GLENN HWY
City: Glennallen
State: Alaska
ZIP Code: 99588
Phone: (907) 822-3113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Copper River Native Association	Dentist	Glennallen	AI Deep Dive

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