Individual
DR. DONALD THOMAS SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3309 JAMES ST, SYRACUSE, NY 13206-2343
(315) 463-0295
(315) 463-0341
Mailing address
3309 JAMES ST, SYRACUSE, NY 13206-2343
(315) 463-0295
(315) 463-0341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
030571
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00574772
—
NY
Enumeration date
11/14/2006
Last updated
07/08/2007
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