IndividualActive
Kevin Shedlock, DDS
NPI 1912241704 · Dentist · Glennallen, AK
Kevin Shedlock, DDS is a Dentist provider in Glennallen, AK (NPI 1912241704).
Provider details
- NPI number
- 1912241704
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- AA1001 (AK)
Practice location
Mile 187.5 Glenn Hwy
Glennallen, AK 99588
Phone: (907) 822-3113
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 744
Glennallen, AK 99588-0744
Registry dates
- Enumerated
- 2012-11-16
- Last updated
- 2012-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.