Provider Demographics
NPI:1639394521
Name:SHEEKS, CYNTHIA MAE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MAE
Last Name:SHEEKS
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 1:925 MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1973
Mailing Address - Country:US
Mailing Address - Phone:303-469-3600
Mailing Address - Fax:
Practice Address - Street 1:925 MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1973
Practice Address - Country:US
Practice Address - Phone:303-469-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8038122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist