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Dr. Richard W. Shepherd, DDS,PS
General Practice Dentistry in Winlock, Washington
NPI 1679772602

Richard W. Shepherd is a General Practice Dentistry based in Winlock, WA and is specialized in General Practice. Richard W. Shepherd practices in Winlock, WA and has the professional credentials of DDS,PS. The NPI Number for Richard W. Shepherd is 1679772602 and holds a License No. DE00004304 (Washington).

The current practice location address for Richard W. Shepherd is 617 Cemetary Rd, Winlock, WA and can be reached out via phone at 360-785-4755 and via fax at 360-785-3336.

Location: 617 Cemetary Rd, Winlock, WA, 98596-9303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679772602
Provider Name
Richard W. Shepherd
Credential
DDS,PS
Provider Entity Type
Individual
Gender
Male
Address
617 Cemetary Rd, Winlock, WA, 98596-9303
Phone Number
360-785-4755
Fax Number
360-785-3336
Provider Enumeration Date
07/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
29532 01 WA L & I
539-3608 05 WA
institution
Provider Business Practice Location Address Details
Address
617 Cemetary Rd
City
Winlock
State
Washington
Zip
98596-9303
Phone Number
360-785-4755
Fax Number
360-785-3336
person
Provider Business Mailing Address Details
Address
617 Cemetary Rd
City
Winlock
State
Washington
Zip
98596-9303
Phone Number
360-785-4755
Fax Number
360-785-3336
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE00004304 (Washington)
Definition
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.
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