DR. AMANDA MARIE SHEEHAN (NPI# 1386938561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386938561 |
| Entity Type | Individual |
| Full Name | DR. AMANDA MARIE SHEEHAN |
| Credential | DDS |
| Practice Address |
4626 W Walton Blvd Waterford MI 48329-3535 |
| Practice Telephone | 2486740384 |
| Practice Fax Number | 2486741483 |
| Mailing Telephone | 2486740384 |
| Mailing Fax Number | 2486741483 |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901020519 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DENTIST | 812398622 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356571996 | Amanda M Sheehan | Physical Therapist | 4470 Regency Place, Suite 100, White Plains, MD 20695 | 2009-07-16 |
| 1407375280 | Amanda Lyn Sheehan | Nurse Practitioner | 1 Joslin Pl, Boston, MA 02215-5306 | 2017-09-13 |
| Street Address |
4626 W WALTON BLVD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329-3535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402383 | Michigan Dental PC | Dentist | 4626 W Walton Blvd, Waterford, MI 48329-3535 | 2018-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421035 | Anthony Jacob Laszlo | Dentist | 3714 Sashabaw Rd, Waterford, MI 48329-2067 | 2020-06-15 |
| 1821401068 | Logan Conrad Smith | Dentist | 2340 Marwood Dr, Waterford, MI 48328-1633 | 2014-06-05 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1336468941 | Dinesh Nandlal Patel | Dentist | 9271 Peach Street, Waterford, PA 16441 | 2010-05-21 |
| 1316139637 | Mary Ann Harchick | Dentist | 4204 Pontiac Lake Rd, Waterford, MI 48328 | 2007-08-10 |
| 1336359579 | David M Luciw | Dentist | 4914 Highland Rd, Waterford, MI 48328-1142 | 2007-05-23 |
| 1598979676 | Elaine Gantz, D.d.s., P.C. | Dentist | 4005 Highland Rd., Waterford, MI 48328-2134 | 2007-05-09 |
| 1568687531 | Brian E Lentz Dmd PC | Dentist | 850 Cherry Street, Waterford, PA 16441-0817 | 2007-04-16 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1497817407 | James Yamamoto | Dentist | 12142 Yosemite Blvd, Waterford, CA 95386 | 2006-12-15 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.