Healthcare Provider Details

I. General information

NPI: 1114308152
Provider Name (Legal Business Name): SHEILA VAHEY RHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHEILA PORTRIE RDH

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 06/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 EPPING ST LAMPREY FAMILY DENTAL
RAYMOND NH
03077-2524
US

IV. Provider business mailing address

37 EPPING ST LAMPREY FAMILY DENTAL
RAYMOND NH
03077-2524
US

V. Phone/Fax

Practice location:
  • Phone: 603-895-3161
  • Fax: 603-895-3993
Mailing address:
  • Phone: 603-895-3161
  • Fax: 603-895-3993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number#01854
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: