Provider Demographics
NPI:1003872987
Name:DENNIS P SHEPARD ENTERPRISES INC
Entity type:Organization
Organization Name:DENNIS P SHEPARD ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:SHEPARD
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:828-369-8621
Mailing Address - Street 1:99 E PALMER ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-3018
Mailing Address - Country:US
Mailing Address - Phone:828-369-8621
Mailing Address - Fax:828-369-8631
Practice Address - Street 1:99 E PALMER ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-3018
Practice Address - Country:US
Practice Address - Phone:828-369-8621
Practice Address - Fax:828-369-8631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1127430001Medicare NSC