Provider Demographics
NPI:1386838597
Name:SHEHZAD SHEIKH DMD, MS, PC
Entity Type:Organization
Organization Name:SHEHZAD SHEIKH DMD, MS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEHZAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:703-430-6432
Mailing Address - Street 1:46400 BENEDICT DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-6604
Mailing Address - Country:US
Mailing Address - Phone:703-430-6432
Mailing Address - Fax:
Practice Address - Street 1:46400 BENEDICT DR
Practice Address - Street 2:SUITE 205
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-6604
Practice Address - Country:US
Practice Address - Phone:703-430-6432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401411473261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental