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NPI Code Detail

MEDICARE: MICHAEL PHILIP SHEA DMD

MEDICARE:   MICHAEL PHILIP SHEA  DMD
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
11223G0001XGeneral Practice Dentistry8849CO

General Provider Information

NPI Number : 1518018613
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL PHILIP SHEA DMD
Provider Business Mailing Address
First Line : 1512 GRAND AVE
Second Line : #102
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-3861
Country : US
Telephone Number : 970-947-1273
Fax Number : 970-928-0741
Provider Business Practice Location Address
First Line : 1512 GRAND AVE
Second Line : #102
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-3861
Country : US
Telephone Number : 970-947-1273
Fax Number : 970-928-0741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 07/08/2007

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Directions to “ MICHAEL PHILIP SHEA DMD” Practice Location

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