George R Shepley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6594 Issued in MD

Practice address

711 W 40TH St
Suite 213
Baltimore, MD 21211-2120

Phone

(410) 889-7100

Fax

(410) 889-7111

NPI assigned

Mar 15, 2007

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

State licenses

Practice roles

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.

• Smile Rotunda LLC

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1003581257
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720112600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST",
            "address_2": "SUITE 213",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112120",
            "telephone_number": "410-889-7100",
            "fax_number": "410-889-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST",
            "address_2": "SUITE 213",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112120",
            "telephone_number": "410-889-7100",
            "fax_number": "410-889-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPLEY",
        "first_name": "GEORGE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Christine Shepard, PMHCNS-BC
• Kelly Anne Sheperd Riolo, PH.D.
• Jessica W Shepherd
• Victoria Elizabeth Shepherd, DNP, CRNP
• Shepherd'S Clinic
• Patricia R Shepley, LCSW-C
• Sheppard Pratt Health System, Inc.
• Sheppard Pratt Health System, Inc.
• Sheppard Pratt Health System, Inc.
• Sheppard Pratt Health System, Inc.

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.