Individual provider · Type 1 NPI

Mark Wilson Sheppard, DDS

General Practice Dentistry · Lewiston, ID

NPI number 1922173582 Active

Practice location

77 Southway Ave Ste A
Lewiston, ID 83501-2203

Call (208) 743-2792 Map

Fax (208) 743-0534

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD-3137 (ID)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1922173582

Mark Wilson Sheppard, DDS's National Provider Identifier is 1922173582, issued on Nov 21, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lewiston, ID. The record was last updated on Jul 8, 2007.