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Dr. Clayton Roland Shepard, DDS
General Practice Dentistry in Coon Rapids, Minnesota
NPI 1700875077

Clayton Roland Shepard is a General Practice Dentistry based in Coon Rapids, MN and is specialized in General Practice. Clayton Roland Shepard practices in Coon Rapids, MN and has the professional credentials of DDS. The NPI Number for Clayton Roland Shepard is 1700875077 and holds a License No. 10035MN (Minnesota).

The current practice location address for Clayton Roland Shepard is 3911 Coon Rapids Blvd Nw, Coon Rapids, MN and can be reached out via phone at 763-421-0770 and via fax at 763-421-0772.

Location: 3911 Coon Rapids Blvd Nw, Coon Rapids, MN, 55433-2520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700875077
Provider Name
Clayton Roland Shepard
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3911 Coon Rapids Blvd Nw, Coon Rapids, MN, 55433-2520
Phone Number
763-421-0770
Fax Number
763-421-0772
Provider Enumeration Date
10/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
320022100 01 MN MEDICAL ASSISTANCE N UMBE
10035MN 01 MN DENTAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3911 Coon Rapids Blvd Nw
City
Coon Rapids
State
Minnesota
Zip
55433-2520
Phone Number
763-421-0770
Fax Number
763-421-0772
person
Provider Business Mailing Address Details
Address
3911 Coon Rapids Blvd Nw
City
Coon Rapids
State
Minnesota
Zip
55433-2520
Phone Number
763-421-0770
Fax Number
763-421-0772
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10035MN (Minnesota)
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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