Individual
DR. AMANDA MARIE SHEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4626 W WALTON BLVD, WATERFORD, MI 48329-3535
(248) 674-0384
(248) 674-1483
Mailing address
4626 W WALTON BLVD, WATERFORD, MI 48329-3535
(248) 674-0384
(248) 674-1483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020519
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
812398622
DENTIST
MI
Enumeration date
06/05/2011
Last updated
10/03/2018
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