Shehan, Mark T
Shehan, Mark T is an individual health care provider with primary practice located at 1601 South Hawthorne Road , Winston Salem NC 27103-4127. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Shehan, Mark T can be contacted via phone (336) 765-9550.Contact Information
Primary practice address
1601 South Hawthorne Road
Winston Salem NC 27103-4127
Phone: (336) 765-9550
Fax: (336) 765-9552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4949 | North Carolina |
Profile Details
| NPI number | 1083721906 |
|---|---|
| LBN Legal business name | Shehan, Mark T |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083721906 | NPPES |
| North Carolina | MEDICAID | 7997761 |
Popular Providers
-
Peacock, Edgar Harold
2750 Laurel St Ste 202, Columbia SC 29204-2024 -
Erlichman, Michael C
703 Main Street St. Joseph'S Regional Medical Center, Paterson NJ 07503 -
Ringeman, Jason L
3020 Maplewood Ave , Winston Salem NC 27103-4012 -
Russell, Bradly Kalb
1601 S Hawthorne Rd , Winston Salem NC 27103-4127 -
Sullivan, Steven M
1000 N Lincoln Blvd Ste 200, Oklahoma City OK 73104-3252 -
Oghalai, Mark Alan
1405 Westgate Center Dr , Winston-Salem NC 27103-2995 -
Aycock, Jeffrey E
131 Miller St , Winston Salem NC 27103-2508 -
Kretzschmar, David Phillip
131 Miller St. , Winston Salem NC 27103