Individual
DR. JOHN VICTOR SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
331 E PUETZ RD, #106, OAK CREEK, WI 53154
(414) 768-1020
(414) 768-8866
Mailing address
8406 THREE MILE RD, FRANKSVILLE, WI 53126
(262) 835-4059
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3034
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33463300
—
WI
Enumeration date
08/20/2006
Last updated
07/08/2007
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