Organization · Type 2 NPI

Walter B. Shepherd

Orthodontics and Dentofacial Orthopedics Dentistry · Eden, NC

NPI number 1295907574 Active

Practice location

113 E Moore St
Eden, NC 27288

Fax (336) 627-5165

Mailing address

PO Box 246
Eden, NC 27289-0246

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X004113 (NC)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

About NPI 1295907574

Walter B. Shepherd's National Provider Identifier is 1295907574, issued on Mar 27, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Eden, NC. The record was last updated on Mar 27, 2008.