Provider Demographics
NPI:1780178822
Name:SHEIKH, YUSUF (DMD)
Entity type:Individual
Prefix:
First Name:YUSUF
Middle Name:
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 TRAIL RUN APT 3202
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-3973
Mailing Address - Country:US
Mailing Address - Phone:817-217-5884
Mailing Address - Fax:
Practice Address - Street 1:1046 WESTERN AVE STE 1
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-2513
Practice Address - Country:US
Practice Address - Phone:802-230-0110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2.0135711223P0300X
VT016.01341601223P0300X
MADN18583691223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty