Shepherd, Jerry David
Shepherd, Jerry David is an individual health care provider with primary practice located at 1663 Glenns Bay Rd , Surfside Beach SC 29575-4836. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shepherd, Jerry David can be contacted via phone (843) 215-6080.Contact Information
Primary practice address
1663 Glenns Bay Rd
Surfside Beach SC 29575-4836
Phone: (843) 215-6080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3418 | West Virginia |
| Dental Providers / General Practice | 1223G0001X | 10022 | South Carolina |
Profile Details
| NPI number | 1508831371 |
|---|---|
| LBN Legal business name | Shepherd, Jerry David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Apr 27th, 2023 - about 3 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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