Sheehan, Gregory Michael

Sheehan, Gregory Michael is an individual health care provider with primary practice located at 1215 Rice St , Saint Paul MN 55117-4538. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sheehan, Gregory Michael can be contacted via phone (651) 488-7251.

Contact Information

Primary practice address
1215 Rice St Saint Paul MN 55117-4538
Phone: (651) 488-7251
Fax: (651) 488-7252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8393 Minnesota

Profile Details

NPI number 1376549352
LBN Legal business name Sheehan, Gregory Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376549352 NPPES
Minnesota MEDICAID 4030184

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