JOHN DAVID SHEPHERD D.M.D.
NPI 1629315643
Clinic/Center - Dental in Birmingham, AL

Active since January 10, 2013
2006 OLD MONTGOMERY HWY, BIRMINGHAM, AL 35244(205) 987-4055(205) 987-4635 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About JOHN DAVID SHEPHERD D.M.D.

This page provides the complete NPI Profile along with additional information for John David Shepherd D.m.d., a provider established in Birmingham, Alabama operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1629315643 assigned on January 2013. The practitioner's primary taxonomy code is 261QD0000X with license number 3970 (AL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Cindy R. Braswell (Insurance Coordinator)

NPI
1629315643 Verify this NPI
Provider Name
JOHN DAVID SHEPHERD D.M.D.
Entity Type
Organization
Location Address
2006 OLD MONTGOMERY HWY BIRMINGHAM, AL 35244
Location Phone
(205) 987-4055
Location Fax
(205) 987-4635
Mailing Address
2006 OLD MONTGOMERY HWY BIRMINGHAM, AL 35244
Mailing Phone
(205) 987-4055
Mailing Fax
(205) 987-4635
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2013
Last Update Date
01-10-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
3970
License State
AL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CINDY R. BRASWELL

Authorized Official Title
INSURANCE COORDINATOR
Authorized Official Phone
(205) 987-4055

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
2006 OLD MONTGOMERY HWY
BIRMINGHAM, AL 35244
Dentist (General Practice)
2006 OLD MONTGOMERY HWY
BIRMINGHAM, AL 35244

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629315643, enumerated as an "organization" on January 10, 2013.

The provider is located at 2006 OLD MONTGOMERY HWY BIRMINGHAM, AL 35244 and the phone number is (205) 987-4055.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.