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KEVIN BRENT SHEDLOCK, DDS, PC
NPI 1336547926
Clinic/Center - Dental in Glennallen, AK

Active since December 12, 2014
MILE 187 GLENN HIGHWAY, GLENNALLEN, AK 99588(907) 320-0455 Get Directions Write a Review

NPPES record last updated: December 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Brent Shedlock, Dds, Pc NPPES

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

KEVIN BRENT SHEDLOCK, DDS, PC (NPI 1336547926) is a healthcare organization registered as a dental in Glennallen, Alaska and active in the NPI registry since December 2014. The organization lists Kevin Brent Shedlock, Dentist, as its authorized official.

NPPES Registry Identity

NPI1336547926
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKEVIN BRENT SHEDLOCK, DDS, PC
Location AddressMILE 187 GLENN HIGHWAYGlennallen, AK 99588
Mailing AddressPo Box 789Glennallen, AK 99588 · (907) 320-0455
Phone(907) 320-0455
Organization SubpartNo
Authorized OfficialKevin Brent ShedlockDentist · (907) 320-0455
Enumeration DateDecember 12, 2014
✔ NPI 1336547926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in AK · 1001
MILE 187 GLENN HIGHWAY, Glennallen, AK 99588
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Other Identifiers 1

Medicaid1912241704AK

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WILLIAM G. LEINO LMSW
Social Worker
MILE 187 GLENN HIGHWAY
GLENNALLEN, AK 99588
Copper River (907) 822-3203
RUTH HUNT MSN, APRN, FNP-BC
Nurse Practitioner (Family)
MILE 187 GLENN HIGHWAY
GLENNALLEN, AK 99588
Copper River (907) 822-3203
SUZANNE MARIE SARAFIN LMT
Massage Therapist
MILE 187 GLENN HIGHWAY
GLENNALLEN, AK 99588
Copper River (907) 822-3203
DR. ANDREW PETER CAP MD, PHD
Internal Medicine
MILE 187 GLENN HIGHWAY
GLENNALLEN, AK 99588
Copper River (907) 822-3203
AMANDA RENEE TORTORIGE LPC; LCPC
Counselor (Professional)
MILE 187 GLENN HIGHWAY
GLENNALLEN, AK 99588
Copper River (706) 386-7653
CROSS ROAD HEALTH MINISTRIES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
MILE 187 GLENN HIGHWAY
GLENNALLEN, AK 99588
Copper River (907) 822-3203
PEGGY L O'CONNOR FNP
Nurse Practitioner (Family)
MILE 187 GLENN HIGHWAY
GLENNALLEN, AK 99588
Copper River (907) 822-3203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Brent Shedlock, Dds, PC's NPI number?

The NPI number for Kevin Brent Shedlock, Dds, PC is 1336547926. It was assigned to this organization in the NPPES registry on December 12, 2014.

Where is Kevin Brent Shedlock, Dds, PC located?

Kevin Brent Shedlock, Dds, PC is located at Mile 187 Glenn Highway, Glennallen, AK 99588. The listed phone number is (907) 320-0455.

What is Kevin Brent Shedlock, Dds, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kevin Brent Shedlock, Dds, PC was last updated on December 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.