Provider Demographics
NPI:1710600994
Name:STEPHEN P. SHEFFIELD, DDS, PLLC
Entity Type:Organization
Organization Name:STEPHEN P. SHEFFIELD, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SHEFFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:315-677-3113
Mailing Address - Street 1:PO BOX 259
Mailing Address - Street 2:
Mailing Address - City:LA FAYETTE
Mailing Address - State:NY
Mailing Address - Zip Code:13084-0259
Mailing Address - Country:US
Mailing Address - Phone:315-677-3113
Mailing Address - Fax:315-677-3114
Practice Address - Street 1:2521 US ROUTE 11
Practice Address - Street 2:
Practice Address - City:LA FAYETTE
Practice Address - State:NY
Practice Address - Zip Code:13084-3352
Practice Address - Country:US
Practice Address - Phone:315-677-3113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental