Provider Demographics
NPI:1346752888
Name:SHEILA R FIELD
Entity Type:Organization
Organization Name:SHEILA R FIELD
Other - Org Name:A DIVISION OF ATLANTIC DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:R
Authorized Official - Last Name:FIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-495-5010
Mailing Address - Street 1:4676 PRINCESS ANNE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6465
Mailing Address - Country:US
Mailing Address - Phone:757-495-5010
Mailing Address - Fax:
Practice Address - Street 1:4676 PRINCESS ANNE RD STE 100
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6465
Practice Address - Country:US
Practice Address - Phone:757-495-5010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTIC DENTAL CARE, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410950122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty