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Walter B. Shepherd
Orthodontics and Dentofacial Orthopedic Dentist in Eden, North Carolina
NPI 1295907574

Walter B. Shepherd is a Orthodontics and Dentofacial Orthopedic Dentist based in Eden, NC and is specialized in Orthodontics and Dentofacial Orthopedics. Walter B. Shepherd practices in Eden, NC. The NPI Number for Walter B. Shepherd is 1295907574 and holds a License No. 004113 (North Carolina).

The current practice location address for Walter B. Shepherd is 113 E Moore St, Eden, NC and can be reached out via phone at 336-627-5163 and via fax at 336-627-5165.

Location: 113 E Moore St, Eden, NC, 27289-0246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295907574
Provider Name
Walter B. Shepherd
Credential
Provider Entity Type
Organization
Address
113 E Moore St, Eden, NC, 27289-0246
Phone Number
336-627-5163
Fax Number
336-627-5165
Provider Enumeration Date
03/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8997773 05 NC
078247 01 VA VIRGINIA BCBS
institution
Provider Business Practice Location Address Details
Address
113 E Moore St
City
Eden
State
North Carolina
Zip
27288
Phone Number
336-627-5163
Fax Number
336-627-5165
person
Provider Business Mailing Address Details
Address
113 E Moore St
City
Eden
State
North Carolina
Zip
27288
Phone Number
336-627-5163
Fax Number
336-627-5165
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
004113 (North Carolina)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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