WALTER B. SHEPHERD
NPI 1295907574
Dentist - Orthodontics and Dentofacial Orthopedics in Eden, NC

Active since March 27, 2008
113 E MOORE ST, EDEN, NC 27288(336) 627-5163(336) 627-5165 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Walter B. Shepherd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER B. SHEPHERD (NPI 1295907574) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Eden, North Carolina and active in the NPI registry since March 2008. The organization lists Walter B Shepherd, Orthodontist/owner, as its authorized official.

NPPES Registry Identity

NPI1295907574
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameWALTER B. SHEPHERD
Location Address113 E MOORE STEden, NC 27288
Mailing AddressPo Box 246Eden, NC 27289-0246 · (336) 627-5163 · Fax (336) 627-5165
Fax(336) 627-5165
Organization SubpartNo
Authorized OfficialWalter B ShepherdOrthodontist/owner · (336) 627-5163
Enumeration DateMarch 27, 2008
NPI 1295907574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NC · 004113
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

113 E MOORE ST, Eden, NC 27288

Other Identifiers 2

Medicaid8997773NC
Other078247VA · Virginia Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295907574, enumerated as an "organization" on March 27, 2008.

The provider is located at 113 E MOORE ST EDEN, NC 27288 and the phone number is (336) 627-5163.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.