# CHARLES G.SHEA,DMD,PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356782700
- **Authorized official:** MRS. JACQUELINE M. SHEA (PRACTICE MANAGER)
- **Authorized official phone:** (814) 535-7888

## Contact information

- **Practice address:** 225 VINE ST, JOHNSTOWN, PA 15901-1518
- **Practice address phone:** (814) 535-7888
- **Practice address fax:** (814) 539-8858
- **Mailing address:** 225 VINE ST, JOHNSTOWN, PA 15901-1518
- **Mailing address phone:** (814) 535-7888
- **Mailing address fax:** (814) 539-8858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2013
- **Last updated:** 07/15/2013