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SHEPHERD LANE DENTAL ASSOCIATES NPI 1679716641


NPI Information

NPI: 1679716641
Provider Name: SHEPHERD LANE DENTAL ASSOCIATES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3065 N JOSEY LN
CARROLLTON, TX
ZIP 75007
Phone: (972) 416-5755
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SHEPHERD LANE DENTAL ASSOCIATES is a general practice dentist in Carrollton, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SHEPHERD LANE DENTAL ASSOCIATES NPI is 1679716641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3065 N JOSEY LN
CARROLLTON, TX
ZIP 75007-340
Phone: (972) 416-5755

The provider's authorized official is Sammie Walker .
The authorized official title is Manager and has the following contact phone number (972) 286-5711.

The enumeration date for this NPI number is 4/7/2009 and was last updated on 4/7/2009.


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
11223G0001XDentistGeneral PracticeYes

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: 5/5/2024

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