Sheppard, Michael Derae

Sheppard, Michael Derae is an individual health care provider with primary practice located at 2310 Fm 157 North Suite 103, Mansfield TX 76063. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Sheppard, Michael Derae can be contacted via phone (817) 477-0922.

Contact Information

Primary practice address
2310 Fm 157 North Suite 103 Mansfield TX 76063
Fax: (817) 477-0910
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 21182 Texas

Profile Details

NPI number 1871547893
LBN Legal business name Sheppard, Michael Derae
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Mar 25th, 2009 - about 15 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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