Shepherd, Casey Russell

Shepherd, Casey Russell is an individual health care provider with primary practice located at 180 Timberwolf Pkwy , Kalispell MT 59901-1218. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Shepherd, Casey Russell can be contacted via phone (406) 755-6014.

Contact Information

Primary practice address
180 Timberwolf Pkwy Kalispell MT 59901-1218
Phone: (406) 755-6014
Fax: (406) 755-6094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 11502 Montana
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 11502 Montana

Profile Details

NPI number 1720305741
LBN Legal business name Shepherd, Casey Russell
Credentials DMD MD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2010
Last updated Aug 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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