Provider Demographics
NPI:1528339942
Name:SHEINE, WENDY SUE (DDS)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:SUE
Last Name:SHEINE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:SHEINE
Other - Last Name:MONSELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:197 CHALMERS DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-1846
Mailing Address - Country:US
Mailing Address - Phone:248-931-1253
Mailing Address - Fax:
Practice Address - Street 1:197 CHALMERS DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-1846
Practice Address - Country:US
Practice Address - Phone:248-931-1253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-17
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901015003122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist