Organization
MARY ELIZABETH SHEEHAN D.D.S., P.C.
Active
Other names
Knightstown Gentle Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELIZABETH SHEEHAN D.D.S. (OWNER)
(765) 345-7780
Entity
Organization
Contact information
Practice address
439 N MCCULLUM ST, KNIGHTSTOWN, IN 46148-1138
(765) 345-7780
(765) 345-9123
Mailing address
6267 RED FOX RD, PENDLETON, IN 46064-9058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009495
IN
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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