Individual
SHELBY STEIN SHEERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3141 BEAUMONT CENTRE CIR STE 200, LEXINGTON, KY 40513-1956
(859) 296-4846
Mailing address
5089 SULPHUR LN, LEXINGTON, KY 40509-8427
(270) 769-8461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10115
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10115
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10115
LICENSE NUMBER
KY
Enumeration date
10/01/2018
Last updated
06/02/2021
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