1316183486 NPI number — DR. RENEE JEANETTE SHEPHERD D.D.S.

Table of content: DR. RENEE JEANETTE SHEPHERD D.D.S. (NPI 1316183486)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316183486 NPI number — DR. RENEE JEANETTE SHEPHERD D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHEPHERD
Provider First Name:
RENEE
Provider Middle Name:
JEANETTE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316183486
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
926 SHAVANO PEAK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUPERIOR
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80027-6084
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-944-4586
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6160 FIRESTONE BLVD
Provider Second Line Business Practice Location Address:
#105
Provider Business Practice Location Address City Name:
FIRESTONE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80504-6427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-532-3371
Provider Business Practice Location Address Fax Number:
303-532-3375
Provider Enumeration Date:
12/19/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  7852 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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