Provider Demographics
NPI:1093552119
Name:SHEEN DENTAL
Entity type:Organization
Organization Name:SHEEN DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAKSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-308-7510
Mailing Address - Street 1:88 PATRIOT HILL DR
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-4215
Mailing Address - Country:US
Mailing Address - Phone:203-308-7510
Mailing Address - Fax:
Practice Address - Street 1:21 MONROE ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3043
Practice Address - Country:US
Practice Address - Phone:203-308-7510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty