Provider Demographics
NPI:1861436396
Name:SHEEHAN, JOSEPH E (DDS, PC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:E
Last Name:SHEEHAN
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 DOW ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1299
Mailing Address - Country:US
Mailing Address - Phone:603-623-0641
Mailing Address - Fax:603-622-8350
Practice Address - Street 1:155 DOW ST
Practice Address - Street 2:SUITE 401
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1299
Practice Address - Country:US
Practice Address - Phone:603-623-0641
Practice Address - Fax:603-622-8350
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH20091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice