Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pettissheparddentastic LLC

Organization Dentist · NPI 1467839522

Pettissheparddentastic LLC is a Dentist in Pompano Beach, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2747 E Atlantic Blvd
Pompano Beach, FL 33062-4941
Phone: (954) 781-4670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN7571 (FL)
Dentist Taxonomy 122300000X · Licence DN19680 (FL)
Dentist Taxonomy 122300000X · Licence DN19879 (FL)

Record details

NPI number1467839522
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Shepard — Manager · (954) 781-4670
Other names Dentastic Dental Center
NPI enumeratedApril 28, 2015
Last updated in NPPESApril 28, 2015
Mailing address2747 E Atlantic Blvd, Pompano Beach, FL 33062-4941

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