Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508831371 Individual Practitioner Male Practitioner

Dr. Jerry David Shepherd , DDS

Dentist - General Practice • Surfside Beach, SC

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Shepherd, DDS is a registered healthcare professional specializing in Dentist - General Practice in Surfside Beach, SC. Practice services are available at 1663 GLENNS BAY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1663 Glenns Bay Rd

Surfside Beach, SC 295754836

Telephone 8432156080
Associated Practice Facility / Clinic
🏢 Surfside Dental Llc Facility NPI 1316216500

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Surfside Beach, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Surfside Beach, SC (1873 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

CMS Verified: 2023-04-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License SC 10022

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WV 3418

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

16920 National Hwy Sw

Frostburg, MD 215323306

Phone: 3016896780

315 1st St

Fairmont, WV 265540173

Phone: 3042820202

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1972155596

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 26, 2021

Registered at 1663 GLENNS BAY RD, SURFSIDE BEACH, SC 295754836 (Tel: 8432156080)

📍
Updated Business Mailing Address October 26, 2021

Registered at 1663 GLENNS BAY RD, SURFSIDE BEACH, SC 295754836 (Tel: 8432156080)

📍
Updated Practice Location June 21, 2021

Registered at 315 1ST ST, FAIRMONT, WV 265540173 (Tel: 3042820202)

📍
Updated Business Mailing Address June 21, 2021

Registered at 137 KIMBERLY CIR, FAIRMONT, WV 265547999 (Tel: 3042820202)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 16920 NATIONAL HWY SW, FROSTBURG, MD 215323306 (Tel: 3016896780)

📍
Updated Business Mailing Address July 08, 2007

Registered at 118 PINECREST DR, FROSTBURG, MD 215322364 (Tel: 3016896502)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY SHEPHERD, DDS

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

Dentist (License #3418 in WV)

🟢
Initial NPI Registration & Enumeration February 22, 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: 1508831371
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2006
Last Update: April 27, 2023
Sole Proprietor: No

Mailing Address

1663 Glenns Bay Rd

Surfside Beach, SC 295754836

Phone: 8432156080

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.