Individual
DR. MARY ELIZABETH SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2204 S PARK AVE, ALEXANDRIA, IN 46001-8059
(765) 724-7729
(765) 724-9519
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216230A
—
IN
Enumeration date
11/03/2006
Last updated
03/21/2023
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