DR. ROBERT SCOTT SHEPERD DDS NPI 1568456028

NPI Information

  • NPI: 1568456028
  • Provider Name: DR. ROBERT SCOTT SHEPERD, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2325 SUMMIT PARK DR
    SUITE D
    PETOSKEY, MI
    ZIP 49770
  • Phone: (231) 487-1020

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NPI Details

DR. Robert Scott Sheperd, DDS is an oral and maxillofacial surgery dentist in Petoskey, MI. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Robert Scott Sheperd, DDS NPI is 1568456028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2325 SUMMIT PARK DR
SUITE D
PETOSKEY, MI
ZIP 49770-774
Phone: (231) 487-1020
Fax: (231) 487-9003

The NPI 1568456028 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/9/2005 and was last updated on 3/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryDI019967NEW JERSEYNo
21223S0112XDentistOral and Maxillofacial Surgery2901017131MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1VAD000MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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