Provider Demographics
NPI:1407377351
Name:SHEAR, CELESTE LINDSAY (DMD)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:LINDSAY
Last Name:SHEAR
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 1:654 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-5714
Mailing Address - Country:US
Mailing Address - Phone:407-914-3883
Mailing Address - Fax:
Practice Address - Street 1:1100 N ALAFAYA TRL STE 160
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-5966
Practice Address - Country:US
Practice Address - Phone:407-277-7773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-30
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN22821122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist