Healthcare Provider Details

I. General information

NPI: 1437119096
Provider Name (Legal Business Name): EDWARD M SHEINIS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1712 N UNIVERSITY DR
CORAL SPRINGS FL
33071-6090
US

IV. Provider business mailing address

1712 N UNIVERSITY DR
CORAL SPRINGS FL
33071-6090
US

V. Phone/Fax

Practice location:
  • Phone: 954-783-6677
  • Fax: 954-345-5879
Mailing address:
  • Phone: 954-783-6677
  • Fax: 954-345-5879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number9444
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: