Individual provider · Type 1 NPI
Stephen Robert Shepherd, DDS
Periodontics · Tustin, CA
NPI number
1487630992
Active
Practice location
12569 Newport Ave
Tustin, CA 92780-2420
Fax (714) 544-2701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 31706 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Tustin
About NPI 1487630992
Stephen Robert Shepherd, DDS's National Provider Identifier is 1487630992, issued on Dec 16, 2005. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tustin, CA. The record was last updated on Jul 13, 2026.