IndividualActive
Richard Shepherd, D.D.S., P.S.
NPI 1679772602 · General Practice Dentistry · Winlock, WA
Provider details
- NPI number
- 1679772602
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S., P.S.
- Sex
- Male
- Sole proprietor
- No
- License
- DE00004304 (WA)
Specialties & taxonomies
Dental Providers
Practice location
617 Cemetary Rd
Winlock, WA 98596-9303
Phone: (360) 785-4755
Fax: (360) 785-3336
Approximate (ZIP-level) locationGet directions
Mailing address
617 Cemetary Rd
Winlock, WA 98596-9303
Registry dates
- Enumerated
- 2007-07-11
- Last updated
- 2007-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.