OrganizationActive
Kevin Brent Shedlock, DDS, PC
NPI 1336547926 · Dental Clinic/Center · Glennallen, AK
Kevin Brent Shedlock, DDS, PC is a Dental Clinic/Center organization in Glennallen, AK (NPI 1336547926).
Provider details
- NPI number
- 1336547926
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Shedlock, Dentist(907) 320-0455
- License
- 1001 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mile 187 Glenn Highway
Glennallen, AK 99588
Phone: (907) 320-0455
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 789
Glennallen, AK 99588
Registry dates
- Enumerated
- 2014-12-12
- Last updated
- 2014-12-12
Frequently asked questions
- What is Kevin Brent Shedlock, DDS, PC's NPI number?
- Kevin Brent Shedlock, DDS, PC's National Provider Identifier (NPI) is 1336547926, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kevin Brent Shedlock, DDS, PC?
- Kevin Brent Shedlock, DDS, PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kevin Brent Shedlock, DDS, PC located?
- Kevin Brent Shedlock, DDS, PC's practice location on file with NPPES is Mile 187 Glenn Highway, Glennallen, AK 99588.
- What is Kevin Brent Shedlock, DDS, PC's phone number?
- The practice phone number listed in the NPPES registry for Kevin Brent Shedlock, DDS, PC is (907) 320-0455.
- Who is the authorized official for Kevin Brent Shedlock, DDS, PC?
- The authorized official listed on Kevin Brent Shedlock, DDS, PC's NPPES record is Kevin Shedlock, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kevin Brent Shedlock, DDS, PC's NPI active?
- Yes — Kevin Brent Shedlock, DDS, PC's NPI (1336547926) is active in the NPPES registry as of the last update on 2014-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.