Sheridan Family Dentistry Pllc

LBN: Sheridan Family Dentistry Pllc
Sheridan Family Dentistry Pllc is an health care organization with primary practice located at 2707 Sheridan Dr , Tonawanda NY 14150-9466. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Sheridan Family Dentistry Pllc can be contacted via phone (716) 848-9600, or through Donahue, Mark Thomas via phone (716) 848-9600.

Contact Information

Primary practice address
2707 Sheridan Dr Tonawanda NY 14150-9466
Phone: (716) 848-9600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Donahue, Mark Thomas Doctor of Dental Surgery (DDS)
Phone: (716) 848-9600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1285924639
LBN Legal business name Sheridan Family Dentistry Pllc
DBA Doing business as
Authorized official Donahue, Mark Thomas Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2011
Last updated Apr 19th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285924639 NPPES
New York MEDICAID 1487822219
New York MEDICAID 1295767598
New York MEDICAID 1881853588

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