Provider Demographics
NPI:1063828507
Name:SHEFFIELD, SUSAN MARIE S (DMD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN MARIE
Middle Name:S
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 N BON VIEW DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4221
Mailing Address - Country:US
Mailing Address - Phone:804-267-0149
Mailing Address - Fax:
Practice Address - Street 1:4301 W HUNDRED RD STE B
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1959
Practice Address - Country:US
Practice Address - Phone:804-318-1623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-04
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414523122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist