Provider Demographics
NPI:1417106345
Name:GOEL, SHEENU (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHEENU
Middle Name:
Last Name:GOEL
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 1:4235 INDIAN RIPPLE RD.
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440
Mailing Address - Country:US
Mailing Address - Phone:513-942-8181
Mailing Address - Fax:513-682-6188
Practice Address - Street 1:4235 INDIAN RIPPLE RD.
Practice Address - Street 2:SUITE 200A
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440
Practice Address - Country:US
Practice Address - Phone:513-942-8181
Practice Address - Fax:513-682-6188
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0229791223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics