Provider Demographics
NPI:1306030010
Name:SHEMANSKI, MEGAN J (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:J
Last Name:SHEMANSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 MERRICK RD STE 205
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5301
Mailing Address - Country:US
Mailing Address - Phone:516-415-2972
Mailing Address - Fax:516-766-6066
Practice Address - Street 1:371 MERRICK RD STE 205
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5301
Practice Address - Country:US
Practice Address - Phone:516-415-2972
Practice Address - Fax:516-766-6066
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051903-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist