Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922173582 Individual Practitioner Male Practitioner

Dr. Mark Wilson Sheppard , DDS

Dentist - General Practice • Lewiston, ID

Professional Overview & Biography Verified Profile Summary

Dr. Mark Sheppard, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lewiston, ID. Practice services are available at 77 SOUTHWAY AVE STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

77 Southway Ave Ste A

Lewiston, ID 835012203

Telephone 2087432792
Fax 2087430534

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lewiston, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Lewiston, ID (781 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 ID D-3137

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 77 SOUTHWAY AVE STE A, LEWISTON, ID 835012203 (Tel: 2087432792)

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Updated Business Mailing Address July 08, 2007

Registered at 77 SOUTHWAY AVE STE A, LEWISTON, ID 835012203 (Tel: 2087432792)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK SHEPPARD, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D-3137 in ID)

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Initial NPI Registration & Enumeration November 21, 2006

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: 1922173582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

77 Southway Ave Ste A

Lewiston, ID 835012203

Phone: 2087432792

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.