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

Dr. Keith E Shepard, DDS

Individual provider Dentist · NPI 1386855880

Dr. Keith E Shepard, DDS is a Dentist in Smyrna, Georgia. Qualified in 1998, 28 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
28
Licensed in
GA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

705 Windy Hill Rd SE
Smyrna, GA 30080-1854
Phone: (770) 801-1641
Fax: (770) 801-0587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN014208 (GA)

Record details

NPI number1386855880
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 25, 2007
Last updated in NPPESJuly 26, 2013
Mailing address705 Windy Hill Rd Se, Smyrna, GA 30080-1854

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Smyrna