Dr. CASEY RUSSELL SHEPHERD DMD MD
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1720305741- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD MD
- Status
- Active
Contact & Location
- Address
- 180 TIMBERWOLF PKWY, KALISPELL, MT, 599011218
- Phone
- (406) 755-6014
- Fax
- (406) 755-6094
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: MT #11502
Oral & Maxillofacial Surgery
Primary License: MT #11502