John E Sheppard DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01177300 Issued in NJ

Legal business name

JOHN E SHEPPARD DDS PA

Practice address

438 Ganttown Rd
Suite A6
Sewell, NJ 08080-2341

Phone

(856) 589-8012

Fax

(856) 589-8013

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John E Sheppard, DDSNPI 1063836922

Title

President

Phone

(856) 589-8012

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Edwin Sheppard, D.D.S.

  • Dentist
  • Sewell, NJ
  • NPI 1063836922
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407973977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8548",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080128548",
            "telephone_number": "856-589-8012",
            "fax_number": "856-589-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 GANTTOWN RD",
            "address_2": "SUITE A6",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802341",
            "telephone_number": "856-589-8012",
            "fax_number": "856-589-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E SHEPPARD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-589-8012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01177300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey a. Kimelman, DMD, PC
• John David Jennings, MD
• Joan M. Jerrido, DPM
• Jnam Senior Services
• Joanne Robertson, LPC, Acs, LLC
• Michael Gregory Johncola Jr., PT, DPT
• Atiyya Johnson
• Casey Scott Johnson
• William Johnson Jr., COTA
• Ann Jones, APN

• General Practice Dentistry in Sewell, NJ
• Providers in Sewell, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.