Sheppard Dental Clinic LLC
Organization Active NPI General Practice Dentistry · South Whitley, IN
NPI 1104175876 · NPPES record last updated Sep 10, 2012
Key facts
- NPI
- 1104175876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12006222 (IN)
- Legal business name
- SHEPPARD DENTAL CLINIC LLC
- Practice address
- 303 E Columbia St
South Whitley, IN 46787-1352 - Phone
- (260) 723-5223
- NPI assigned
- Sep 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Harry Reith, DDS
- Title
- Vice-President
- Phone
- (260) 723-5223
Practitioners 1
National Provider Directory
Locations
303 E Columbia St
South Whitley, IN 46787
Phone (260) 723-5223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 12006222 | IN | Yes |
Addresses
Primary practice location
303 E Columbia St
South Whitley, IN 46787-1352
Mailing address
303 E Columbia St
South Whitley, IN 46787-1352
Phone (260) 723-5223
Other providers in South Whitley, IN
- Kaylin'S Angelcare, LLC
- Meredith Lynch
- Meredith S. Lynch DDS, LLC
- Amy Rose Phillips
- Michelle J Pratt
- Timothy D Lynch DDS PC
- Bryce Tucker
All providers in South Whitley, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.