Sheppard, Ryan Stephen

Sheppard, Ryan Stephen is an individual health care provider with primary practice located at 5901 Grelot Rd , Mobile AL 36609-3603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Sheppard, Ryan Stephen can be contacted via phone (251) 344-6191.

Contact Information

Primary practice address
5901 Grelot Rd Mobile AL 36609-3603
Phone: (251) 344-6191
Fax: (251) 344-6794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X ALABAMA 5437 Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5437 Alabama

Profile Details

NPI number 1396936589
LBN Legal business name Sheppard, Ryan Stephen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Jan 24th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396936589 NPPES
Alabama Other 1021853899 MEDICARE PTAN
Alabama Other 3860118990 MEDICARE PTAN
Alabama Other 05454 MEDICARE PTAN

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