Keith Shepard, DDS
NPI 1386855880 · on the registry since 2007 · sole proprietor
Practice
- Address
- 705 Windy Hill Rd Se
Smyrna, GA 30080 - Phone
- (770) 801-1641
- Fax
- (770) 801-0587
- Organisation at this address
- Theodis Elzie, D.D.S., P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-07-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia