NORTH JACKSON DENTAL CARE (NPI# 1659456879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659456879 |
| Entity Type | Organization |
| Organization Name | NORTH JACKSON DENTAL CARE |
| Other Organization Name | STEPHEN SCOTT SHEPHERD DMD |
| Practice Address |
105 Adams Street Stevenson AL 35772 |
| Practice Telephone | 2564372191 |
| Practice Fax Number | 2564371066 |
| Mailing Telephone | 2564372191 |
| Mailing Fax Number | 2564371066 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEPHEN SCOTT SHEPHERD (DR PRESIDENT OF CORPORATION) |
| Authorized Official Telephone | 2564372191 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3796 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 3093026 | 01 |
| UNITED CONCORDIA | 595965 | 01 |
| Other Name | Type Code |
|---|---|
| Stephen Scott Shepherd DMD | Doing Business As Name - Organization |
| Street Address |
105 ADAMS STREET |
| City | STEVENSON |
| State | AL |
| Zip Code | 35772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770643371 | Stephen Scott Shepherd | Dentist | 105 Adams Street, Stevenson, AZ 35772 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164859138 | North Jackson Urgent Care LLC | Clinic/Center | 42950 U.S. Highway 72, Stevenson, AL 35772 | 2013-10-04 |
| 1699932780 | Jennifer Nicole Herrell | Pharmacist | 85 Bank Street, Stevenson, AL 35772 | 2008-05-17 |
| 1285839688 | Green Medical Group, PC | Family Medicine | 42950 Al Hwy 72, Suite 301, Stevenson, AL 35772 | 2007-06-18 |
| 1437268273 | Belinda P Ballard | Pharmacist | Co Rd 350, Stevenson, AL 35772 | 2006-08-29 |
| 1487976536 | Therapy Unlimited, Inc | Clinic/Center | 104 Adams St, Stevenson, AL 35772 | 2010-02-17 |
| 1609922467 | T. Murali Mohan | Family Medicine | 230 Kentucky Ave, Stevenson, AL 35772-3102 | 2007-01-26 |
| 1255487039 | Bridgeport Family Practice Obgyn Clinic | Family Medicine | 230 Kentucky Ave, Stevenson, AL 35772-3102 | 2007-01-26 |
| 1245386093 | Asha P Mohan | Family Medicine | 230 Kentucky Ave, Stevenson, AL 35772-3102 | 2007-01-26 |
| 1427495688 | Alabama Dental Professionals PC | Dentist | 105 Adams St, Stevenson, AL 35772-3770 | 2013-05-29 |
| 1497769491 | Kilgore Express Pharmacy Inc | Pharmacy | 85 Bank St, Stevenson, AL 35772-3781 | 2006-07-28 |
| Find all providers in zip 35772 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043484686 | Dr. Clyde Butler, LLC | Dentist | 43200 Us Highway 72, Stevenson, AL 35772-6702 | 2008-04-15 |
| 1770643371 | Stephen Scott Shepherd | Dentist | 105 Adams Street, Stevenson, AZ 35772 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292845 | Matthew Thomas Rurka | Dentist | 4685 Highway 17 Ste C, Helena, AL 35080-3560 | 2020-10-13 |
| 1760089619 | Daniel Brumley | Dentist | 3400 Montgomery Hwy Ste 1, Dothan, AL 36303-1270 | 2020-10-05 |
| 1457963787 | Carrie Ann Cochran | Dentist | 1995 Pepperell Pkwy Ste 1, Opelika, AL 36801-5460 | 2020-08-18 |
| 1689286254 | Rajdeepsinh Narendrasinh Dolia | Dentist | 12205 County Line Rd Ste A, Madison, AL 35758-7720 | 2020-08-17 |
| 1497365498 | Krina Patel | Dentist | 101 6th Ave Nw, Jasper, AL 35504-7486 | 2020-08-04 |
| 1992329700 | Forrest Hunter Harris | Dentist | 1551 E Trinity Blvd, Montgomery, AL 36106-3802 | 2020-06-08 |
| 1609499169 | Tanya Tamiki Hollinshed-miles | Dentist | 1304 Beech St, Montgomery, AL 36113-1002 | 2020-05-19 |
| 1891327904 | Vital Smiles Alabama II PC | Dentist | 809 Beltline Rd Sw Ste A, Decatur, AL 35601-6337 | 2020-02-06 |
| 1689217309 | Stonecreek Dental of Alabama | Dentist | 1840 Montclaire Dr, Vestavia Hills, AL 35216-1408 | 2019-10-25 |
| 1013558766 | Southern Smiles | Dentist | 2801 John Hawkins Pkwy Ste 175, Hoover, AL 35244-4007 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.