IndividualActive
Amanda Shepard, RDH
NPI 1437876562 · Dental Hygienist · Marion, IL
Provider details
- NPI number
- 1437876562
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- 020012581 (IL)
Specialties & taxonomies
Dental Providers
Practice location
7562 Old Route 13
Marion, IL 62959-7776
Phone: (618) 993-8333
Fax: (618) 993-8335
Approximate (ZIP-level) locationGet directions
Mailing address
7562 Old Route 13
Marion, IL 62959-7776
Registry dates
- Enumerated
- 2022-10-19
- Last updated
- 2022-10-19
- Certified
- 2022-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.