Shepherd, Stephen Robert

Shepherd, Stephen Robert is an individual health care provider with primary practice located at 12569 Newport Ave , Tustin CA 92780-2420. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Shepherd, Stephen Robert can be contacted via phone (714) 544-2220.

Contact Information

Primary practice address
12569 Newport Ave Tustin CA 92780-2420
Phone: (714) 544-2220
Fax: (714) 544-2701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 31706 California

Profile Details

NPI number 1487630992
LBN Legal business name Shepherd, Stephen Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers