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Kevin Brent Shedlock, Dds, Pc
Dental Clinic/Center in Glennallen, Alaska
NPI 1336547926

Kevin Brent Shedlock, Dds, Pc is a Dental Clinic/Center based in Glennallen, AK and is specialized in Dental. Kevin Brent Shedlock, Dds, Pc practices in Glennallen, AK. The NPI Number for Kevin Brent Shedlock, Dds, Pc is 1336547926 and holds a License No. 1001 (Alaska).

The current practice location address for Kevin Brent Shedlock, Dds, Pc is Mile 187 Glenn Highway, Glennallen, AK and can be reached out via phone at 907-320-0455.

Location: Mile 187 Glenn Highway, Glennallen, AK, 99588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336547926
Provider Name
Kevin Brent Shedlock, Dds, Pc
Credential
Provider Entity Type
Organization
Address
Mile 187 Glenn Highway, Glennallen, AK, 99588
Phone Number
907-320-0455
Fax Number
Provider Enumeration Date
12/12/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912241704 05 AK
institution
Provider Business Practice Location Address Details
Address
Mile 187 Glenn Highway
City
Glennallen
State
Alaska
Zip
99588
Phone Number
907-320-0455
Fax Number
person
Provider Business Mailing Address Details
Address
Mile 187 Glenn Highway
City
Glennallen
State
Alaska
Zip
99588
Phone Number
907-320-0455
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
1001 (Alaska)
Definition
Definition to come...
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