Provider Demographics
NPI:1619379336
Name:SHEIKH, HAJRA O (DMD)
Entity Type:Individual
Prefix:
First Name:HAJRA
Middle Name:O
Last Name:SHEIKH
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 1:15301 AVALON DR
Mailing Address - Street 2:APT 4
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-2176
Mailing Address - Country:US
Mailing Address - Phone:201-334-8648
Mailing Address - Fax:
Practice Address - Street 1:76 OTIS ST
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-3315
Practice Address - Country:US
Practice Address - Phone:508-869-4225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-24
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856747122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist