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DR. JERRY DAVID SHEPHERD II DDS
NPI 1508831371
Dentist - General Practice in Surfside Beach, SC

Active since February 22, 2006
1663 GLENNS BAY RD, SURFSIDE BEACH, SC 29575(843) 215-6080 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry David Shepherd Ii Dds NPPES

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

DR. JERRY DAVID SHEPHERD II DDS (NPI 1508831371) is an individual general practice provider in Surfside Beach, South Carolina, licensed in South Carolina (10022) and active in the NPI registry since February 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508831371
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERRY DAVID SHEPHERD IICredential: DDS
Location Address1663 GLENNS BAY RDSurfside Beach, SC 29575-4836
Mailing Address1663 Glenns Bay RdSurfside Beach, SC 29575-4836 · (843) 215-6080
Phone(843) 215-6080
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1508831371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in SC · 10022✔ Licensed in WV · 3418
Definition
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.
1663 GLENNS BAY RD, Surfside Beach, SC 29575
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Secondary Practice Locations 2

Location 116920 National Hwy SWFrostburg, MD 21532-3306 · Phone (301) 689-6780
Location 2315 1st StFairmont, WV 26554-0173 · Phone (304) 282-0202

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. ALEC ALEXANDER ADAMS DMD
Dentist
1663 GLENNS BAY RD
MYRTLE BEACH, SC 29575
Horry County (843) 215-6080

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 Jerry Shepherd's NPI number?

The NPI number for Jerry Shepherd is 1508831371. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Jerry Shepherd located?

Jerry Shepherd practices at 1663 Glenns Bay Rd, Surfside Beach, SC 29575. The listed phone number is (843) 215-6080.

What is Jerry Shepherd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jerry Shepherd accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Jerry Shepherd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Shepherd was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.