NPI 1720305741

Casey Russell Shepherd, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Kalispell, MT

Practice location

Address: 180 Timberwolf Pkwy, Kalispell, MT 59901-1218
Phone: (406) 755-6014
Fax: (406) 755-6094

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 11502 (MT)

Other Oral & Maxillofacial Surgery providers in Montana →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 11502 (MT)

Other Dentist providers in Montana →

Registry record

NPI: 1720305741
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2010
Record last updated: 10 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.