Provider Demographics
NPI:1396861852
Name:SHEPLER, JAMES MARVIN II (DENTIST)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MARVIN
Last Name:SHEPLER
Suffix:II
Gender:M
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-2832
Mailing Address - Country:US
Mailing Address - Phone:937-275-0076
Mailing Address - Fax:937-275-0995
Practice Address - Street 1:6500 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-2832
Practice Address - Country:US
Practice Address - Phone:937-275-0076
Practice Address - Fax:937-275-0995
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH133621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice