Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386855880 Individual Practitioner Male Practitioner

Dr. Keith E Shepard , DDS

Dentist • Smyrna, GA

Professional Overview & Biography Verified Profile Summary

Dr. Keith Shepard, DDS is a certified Dentist practicing in Smyrna, GA. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Shepard delivers high-quality medical care to the local community at 705 WINDY HILL RD SE.

Dr. Shepard does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

705 Windy Hill Rd Se

Smyrna, GA 300801854

Telephone 7708011641
Fax 7708010587
Associated Practice Facility / Clinic
🏢 Theodis Elzie, D.d.s., P.c. Facility NPI 1780993840

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Smyrna, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs Matches City Avg
City Avg: 28.0 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
36 Specialists

Practicing in Smyrna, GA (2164 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

Clinical Seniority & Experience Comparison

Dr. Shepard (28 Years) 28 Yrs
Smyrna Specialty Average (28.0 Years) 28.0 Yrs

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN014208

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003122728B (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1164440095

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2013

Registered at 705 WINDY HILL RD SE, SMYRNA, GA 300801854 (Tel: 7708011641)

📍
Updated Business Mailing Address July 26, 2013

Registered at 705 WINDY HILL RD SE, SMYRNA, GA 300801854 (Tel: 7708011641)

👤
Provider Name / Credentials Updated July 26, 2013

Recorded as KEITH SHEPARD, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2013

Dentist (License #DN014208 in GA)

🟢
Initial NPI Registration & Enumeration May 25, 2007

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: 1386855880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2007
Last Update: July 26, 2013
Sole Proprietor: Yes

Mailing Address

705 Windy Hill Rd Se

Smyrna, GA 300801854

Phone: 7708011641

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.