Individual
DR. DOUGLAS JAMES SHEAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19 SKYLINE DR, HAWTHORNE, NY 10532-2134
(914) 594-2700
Mailing address
19 SKYLINE DR, HAWTHORNE, NY 10532-2134
(914) 594-2400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059665
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/02/2016
Last updated
01/25/2022
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