MEDICARE: STEVEN M SHEBLI 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	2901602580APP25	MI

General Provider Information

NPI Number	:	1174316756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN M SHEBLI DDS

Provider Business Mailing Address
First Line	:	401 BERWYN ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3724
Country	:	US
Telephone Number	:	313-574-9334
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 BERWYN ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3724
Country	:	US
Telephone Number	:	313-574-9334
Fax Number	:

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

Provider Enumeration Date	:	05/27/2025
Last Update Date	:	05/27/2025

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