MEDICARE: DR. SHEILA R FIELD D.D.S.

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	0401410950	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	816276	OTHER	VA	UNITED CONCORDIA ID
2	019711	OTHER	VA	ANTHEM ID

General Provider Information

NPI Number	:	1518047042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEILA R FIELD D.D.S.

Provider Business Mailing Address
First Line	:	4676 PRINCESS ANNE RD STE 100
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6465
Country	:	US
Telephone Number	:	757-495-5010
Fax Number	:	757-495-1984

Provider Business Practice Location Address
First Line	:	4676 PRINCESS ANNE RD STE 100
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6465
Country	:	US
Telephone Number	:	757-495-5010
Fax Number	:	757-495-1984

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	10/17/2017

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