Individual provider · Type 1 NPI
Michael Derae Sheppard, DDS
Oral and Maxillofacial Surgery (Dentist) · Mansfield, TX
NPI number
1871547893
Active
Practice location
2310 FM 157 North, Suite 103
Mansfield, TX 76063
Fax (817) 477-0910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 21182 (TX) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Mansfield
About NPI 1871547893
Michael Derae Sheppard, DDS's National Provider Identifier is 1871547893, issued on May 22, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mansfield, TX. The record was last updated on Mar 25, 2009.