Individual provider · Type 1 NPI
Sheppard A. McKenzie Iv, DDS
Periodontics · Raleigh, NC
NPI number
1801068184
Active
Practice location
7200 Stonehenge Dr Ste 104
Raleigh, NC 27613-1620
Fax (919) 846-2482
Mailing address
7501 Falls Of Neuse Road, Suite 100
Raleigh, NC 27615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 8007 (NC) |
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.
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About NPI 1801068184
Sheppard A. McKenzie Iv, DDS's National Provider Identifier is 1801068184, issued on Mar 27, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Raleigh, NC. The record was last updated on Apr 21, 2011.