Shepherd Lane Dental Associates 2, P.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22654 Issued in TX

Legal business name

SHEPHERD LANE DENTAL ASSOCIATES 2, P.C

Practice address

532 W Randol Mill Rd
Arlington, TX 76011

Phone

(972) 512-0285

Fax

(972) 239-0755

NPI assigned

Oct 5, 2011

Last updated

Oct 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Holland Morrison, DDS

Title

President

Phone

(972) 512-0285

Specialties & licenses 2

Addresses

Tax ID family

Shepherd Lane Dental Associates 23 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Shepherd Lane Dental Associates #2

  • Dentist
  • Garland, TX
  • NPI 1114215985
  NPD tax ID
• Shepherd Lane Dental Associates #2

  • Dentist
  • Dallas, TX
  • NPI 1851689483
  NPD tax ID

Locations

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1912281247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76011",
            "telephone_number": "972-512-0285",
            "fax_number": "972-239-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76011",
            "telephone_number": "972-512-0285",
            "fax_number": "972-239-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD LANE DENTAL ASSOCIATES 2, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "HOLLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-512-0285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22654",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "22654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant C Shelton, DC
• Vanessa Shelton, PHARMD.
• Shema14 Transportation LLC
• Samuel Sheng, MD
• Sierra Shepard
• David L Shepherd, MD
• Rodney Shepherd, MA, LPC
• Jordan Shepler, DPT
• Felicia Rose Sheppard, RBT
• Nicholas Sheridan, MD

• General Practice Dentistry in Arlington, TX
• Providers in Arlington, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.