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DR. KEVIN BRENT SHEDLOCK DDS
NPI 1912241704
Dentist in Glennallen, AK

Active since November 16, 2012
MILE 187.5 GLENN HWY, GLENNALLEN, AK 99588(907) 822-3113 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Kevin Brent Shedlock Dds NPPES

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

DR. KEVIN BRENT SHEDLOCK DDS (NPI 1912241704) is an individual dentist in Glennallen, Alaska, licensed in Alaska (AA1001) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1912241704
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEVIN BRENT SHEDLOCKCredential: DDS
Location AddressMILE 187.5 GLENN HWYGlennallen, AK 99588
Mailing AddressPo Box 744Glennallen, AK 99588-0744 · (907) 822-3113
Phone(907) 822-3113
Sole ProprietorYes
Enumeration DateNovember 16, 2012
✔ NPI 1912241704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AK · AA1001
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
MILE 187.5 GLENN HWY, Glennallen, AK 99588
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Other Providers at the Same Location NPPES 2

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

MARCIANO DAVID BAUTISTA D.O.
Family Medicine
MILE 187.5 GLENN HWY
GLENNALLEN, AK 99588
Copper River (907) 822-3203
DR. VICKIE J WILLIS D.C.
Chiropractor
MILE 187.5 GLENN HWY
GLENNALLEN, AK 99588
Copper River (907) 822-3353

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 Shedlock's NPI number?

The NPI number for Kevin Shedlock is 1912241704. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Where is Kevin Shedlock located?

Kevin Shedlock practices at Mile 187.5 Glenn Hwy, Glennallen, AK 99588. The listed phone number is (907) 822-3113.

What is Kevin Shedlock's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kevin Shedlock was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.