MEDICARE: DR. JOSEPH JOHN SHEENA JR. DDS

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	2901023176	MI
2	122300000X	Dentist	2901023176	MI

General Provider Information

NPI Number	:	1275192684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH JOHN SHEENA JR. DDS

Provider Business Mailing Address
First Line	:	21580 NOVI RD STE 100
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48375-5601
Country	:	US
Telephone Number	:	248-349-7560
Fax Number	:

Provider Business Practice Location Address
First Line	:	3308 AUBURN RD
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-3310
Country	:	US
Telephone Number	:	248-852-5222
Fax Number	:

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

Provider Enumeration Date	:	06/10/2019
Last Update Date	:	05/01/2025

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