MEDICARE: DR. HUMA SHEIKH D.D.S., M.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	122300000X	Dentist	9151	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9151	OTHER	NC	NORTH CAROLINA STATE DENTAL LICENSE

General Provider Information

NPI Number	:	1952696114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUMA SHEIKH D.D.S., M.S.

Provider Business Mailing Address
First Line	:	101 E CORBIN ST
Second Line	:
City	:	HILLSBOROUGH
State	:	NC
Zip	:	27278-2104
Country	:	US
Telephone Number	:	919-644-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 E CORBIN ST
Second Line	:
City	:	HILLSBOROUGH
State	:	NC
Zip	:	27278-2104
Country	:	US
Telephone Number	:	919-644-7400
Fax Number	:

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

Provider Enumeration Date	:	06/16/2011
Last Update Date	:	06/16/2011

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