Provider Demographics
NPI:1235279852
Name:SHEU DENTAL
Entity Type:Organization
Organization Name:SHEU DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-253-5000
Mailing Address - Street 1:20345 STEVENS CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2225
Mailing Address - Country:US
Mailing Address - Phone:408-253-5000
Mailing Address - Fax:408-863-1097
Practice Address - Street 1:20345 STEVENS CREEK BLVD
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2225
Practice Address - Country:US
Practice Address - Phone:408-253-5000
Practice Address - Fax:408-863-1097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA389191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty