Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679772602 Individual Practitioner Male Practitioner

Dr. Richard W. Shepherd , DDS, PS

Dentist - General Practice • Winlock, WA

Professional Overview & Biography Verified Profile Summary

Dr. Richard Shepherd, DDS, PS is a registered healthcare professional specializing in Dentist - General Practice in Winlock, WA. Practice services are available at 617 CEMETARY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

617 Cemetary Rd

Winlock, WA 985969303

Telephone 3607854755
Fax 3607853336
Associated Practice Facility / Clinic
🏢 Karyn Mai, Dds, Pllc Facility NPI 1134501844

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Winlock, WA

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

Practicing in Winlock, WA (3345 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 WA DE00004304

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
539-3608 (WA)
Commercial Insurance / Payer ID L & I
29532 (WA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1952893026

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 11, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2007

Registered at 617 CEMETARY RD, WINLOCK, WA 985969303 (Tel: 3607854755)

📍
Updated Business Mailing Address July 11, 2007

Registered at 617 CEMETARY RD, WINLOCK, WA 985969303 (Tel: 3607854755)

👤
Provider Name / Credentials Updated July 11, 2007

Recorded as RICHARD SHEPHERD, D.D.S., P.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2007

Dentist (License #DE00004304 in WA)

🟢
Initial NPI Registration & Enumeration July 11, 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: 1679772602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2007
Last Update: July 11, 2007
Sole Proprietor: No

Mailing Address

617 Cemetary Rd

Winlock, WA 985969303

Phone: 3607854755

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.