SHEPPARD B MOLLICK DMD NPI 1962596395

NPI Information

  • NPI: 1962596395
  • Provider Name: SHEPPARD B MOLLICK, DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 10535 N PORT WASHINGTON RD
    SUITE 102
    MEQUON, WI
    ZIP 53092
  • Phone: (414) 241-0900

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NPI Details

Sheppard B Mollick, DMD is an oral and maxillofacial surgery dentist in Mequon, WI. 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. Sheppard B Mollick, DMD NPI is 1962596395. 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:

10535 N PORT WASHINGTON RD
SUITE 102
MEQUON, WI
ZIP 53092-583
Phone: (414) 241-0900
Fax: (414) 241-0904

The enumeration date for this NPI number is 10/2/2006 and was last updated on 2/5/2008.

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 Surgery5001300-015WISCONSINYes

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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