# 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:** 1912049115
- **Authorized official:** DR. CHARLES G SHEA DMD (OWNER)
- **Authorized official phone:** (814) 535-7888

## Contact information

- **Practice address:** 225 VINE ST, JOHNSTOWN, PA 15901
- **Practice address phone:** (814) 535-7888
- **Practice address fax:** (814) 539-8858
- **Mailing address:** 225 VINE ST, JOHNSTOWN, PA 15901
- **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) | DS-018700-L | PA | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 09/19/2013