Provider Demographics
NPI:1801099627
Name:SHEPLER III, JAMES M
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:SHEPLER III
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 NORTH COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371
Mailing Address - Country:US
Mailing Address - Phone:937-698-8230
Mailing Address - Fax:
Practice Address - Street 1:1950 S SMITHVILLE RD
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45420-1446
Practice Address - Country:US
Practice Address - Phone:937-253-9115
Practice Address - Fax:937-253-3976
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19911122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist