Individual
DR. LARRY E. SHEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
804 ELIZABETH ST, GEORGETOWN, SC 29440-3964
(843) 546-8416
(843) 546-8417
Mailing address
804 ELIZABETH ST, GEORGETOWN, SC 29440-3964
(843) 546-8416
(843) 546-8417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1768
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z-1768-8
—
SC
Enumeration date
10/12/2006
Last updated
07/09/2007
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