Provider Demographics
NPI:1437119096
Name:SHEINIS, EDWARD M (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:M
Last Name:SHEINIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6090
Mailing Address - Country:US
Mailing Address - Phone:954-783-6677
Mailing Address - Fax:954-345-5879
Practice Address - Street 1:1712 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6090
Practice Address - Country:US
Practice Address - Phone:954-783-6677
Practice Address - Fax:954-345-5879
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL94441223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics