Provider Demographics
NPI:1417019555
Name:F. MICHAEL SHEEHAN DDS LTD
Entity Type:Organization
Organization Name:F. MICHAEL SHEEHAN DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:F.
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-614-0321
Mailing Address - Street 1:17406 TAMAR LN
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-2215
Mailing Address - Country:US
Mailing Address - Phone:708-614-0321
Mailing Address - Fax:708-671-1643
Practice Address - Street 1:11901 S 80TH AVE
Practice Address - Street 2:SUITE D
Practice Address - City:PALOS PARK
Practice Address - State:IL
Practice Address - Zip Code:60464-3102
Practice Address - Country:US
Practice Address - Phone:708-671-1510
Practice Address - Fax:708-671-1643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty