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Active NPI 1497164008 Individual Practitioner Male Practitioner

Dr. Keith L Sheppard , DDS

Dentist - General Practice • Penn Valley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Keith Sheppard, DDS is a registered healthcare professional specializing in Dentist - General Practice in Penn Valley, CA. Practice services are available at 11300 PLEASANT VALLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11300 Pleasant Valley Rd

Penn Valley, CA 959469026

Telephone 5304321543
Fax 5304321543

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Penn Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Penn Valley, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 63827

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

13945 Mono Way

Sonora, CA 953702823

Phone: 2095339630

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2018

Registered at 11300 PLEASANT VALLEY RD, PENN VALLEY, CA 959469026 (Tel: 5304321543)

📍
Updated Business Mailing Address January 09, 2018

Registered at 11300 PLEASANT VALLEY RD, PENN VALLEY, CA 959469026 (Tel: 5304321543)

👤
Provider Name / Credentials Updated January 09, 2018

Recorded as KEITH SHEPPARD, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2018

Dentist (License #63827 in CA)

NPI Profile Active August 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2014

Registered at 13945 MONO WAY, SONORA, CA 953702823 (Tel: 2095339630)

📍
Updated Business Mailing Address August 07, 2014

Registered at 13945 MONO WAY, SONORA, CA 953702823

👤
Provider Name / Credentials Updated August 07, 2014

Recorded as KEITH SHEPPARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2014

Dentist (License #63827 in CA)

🟢
Initial NPI Registration & Enumeration August 07, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497164008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2014
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

11300 Pleasant Valley Rd

Penn Valley, CA 959469026

Phone: 5304321543

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.