William T Shepherd, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2567 Issued in AR

Practice address

1242 W 42ND Ave
Pine Bluff, AR 71603-7109

Phone

(870) 535-0301

Fax

(870) 535-5724

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William T Shepherd, Jr DDS

  • Dental Clinic/Center
  • Pine Bluff, AR
  • NPI 1578153540
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1104908128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037109",
            "telephone_number": "870-535-0301",
            "fax_number": "870-535-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037109",
            "telephone_number": "870-535-0301",
            "fax_number": "870-535-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazzmine Shavers
• Sameer R. Shelat, M.D.
• Mickey K. Shell, MS
• Shakeysha B. Shelton
• Jena Shepherd
• Stephen Donald Shorts, MD
• Haley Nicole Shrell, RD
• Nabeel Hassan Siddiqui, M.D.
• David J Silas, MD
• Brenda Simmering

• General Practice Dentistry in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.