MEDICARE: DR. MICHAEL DAVID SHEFFIELD D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN 13759	FL

General Provider Information

NPI Number	:	1023237039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DAVID SHEFFIELD D.M.D.

Provider Business Mailing Address
First Line	:	5150 MASON CORBIN CT
Second Line	:	SUITE 1
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7521
Country	:	US
Telephone Number	:	239-334-3636
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 MASON CORBIN CT
Second Line	:	SUITE 1
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7521
Country	:	US
Telephone Number	:	239-334-3636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	07/08/2007

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