PHILLIP JOHN SHERIDAN


Address: Keesler Air Force Base, 301 Fisher St, Biloxi, MS 39534-2508
Phone: 2283760511

PHILLIP JOHN SHERIDAN (NPI# 1760003644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760003644
Entity Type Individual
Full Name PHILLIP JOHN SHERIDAN
Practice Address Keesler Air Force Base
301 Fisher St
Biloxi
MS 39534-2508
Mailing Address Keesler Air Force Base
301 Fisher St
Biloxi
MS 39534
Practice Telephone 2283760511
Enumeration Date 2020-05-01
Last Update Date 2020-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D14402 MN Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers PHILLIP SHERIDAN

NPI Name Taxonomy Address Enumeration
1205898004 Phillip T. Sheridan Ophthalmology 2080 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2523 2006-04-05
1275512444 Phillip J Sheridan Dentist 200 1st St Sw, Rochester, MN 55905 2006-01-16

Office Location

Street Address KEESLER AIR FORCE BASE
301 FISHER ST
City BILOXI
State MS
Zip Code 39534-2508

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316568918 Hanna Chang Student in an Organized Health Care Education/Training Program 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 2020-05-05
1720617079 Briana Polk Student in an Organized Health Care Education/Training Program Keesler Air Force Base, 301 Fisher Street, Biloxi, MS 39534 2020-04-07
1437718756 Marquise Westbrook Student in an Organized Health Care Education/Training Program 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 2019-06-11
1124682729 Joseph Paul Cervone Student in an Organized Health Care Education/Training Program 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 2019-04-29
1083120851 Kaitlin May Gruenberg Student in an Organized Health Care Education/Training Program 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 2017-12-15
1760912513 Michael Zipper Military Health Care Provider 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 2017-06-14
1184073181 81msgs/sgcq General Acute Care Hospital 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 2016-06-09
1174972772 Usaf 81st Medical Group Military Hospital 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 2016-06-06
1548644677 Jim Li Dentist 81st Medical Group, Keesler Afb, Apo, AA 39534 2015-07-18
1245610872 Zachary Austin Masters Surgery 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 2015-06-09
Find all providers in zip 39534

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851710644 Timothy Brice Mcmurphy Dentist 2751 Tide Mark Cv, Biloxi, MS 39531-2038 2014-04-09
1124241021 James Jules Eustice Dentist 150 G E Ohr St, Biloxi, MS 39530-4228 2007-04-10
1508910423 Peter Andrew Norowski Sr. Dentist 2574 Marcia Court, Ste A, Biloxi, MS 39531 2007-01-22
1811065311 Brian David O'neil Dentist 925 Tommy Munro Dr., Ste C, Biloxi, MS 39532 2006-12-01
1023115987 James William Allen Dentist 250 Beauvoir Rd Ste 1a, Biloxi, MS 39531 2006-09-20
1154382109 Elizabeth Nguyen Dentist 2650 Beach Blvd Ste 31, Biloxi, MS 39531-4517 2006-03-29
1932189594 John M Mclay Dentist 81 Ds Keesler Afb, Biloxi, MS 39524 2006-01-19
1811505910 Michael Andes Dentist 301 Fisher St, Biloxi, MS 39534-2508 2020-07-15
1386186278 Broadwater Dental Dentist 2318 Pass Rd, Ste 9, Biloxi, MS 39531-4044 2016-11-09
1710363130 Valexia Jacynta Edwards Dentist 715a Division St, Biloxi, MS 39530-2209 2015-08-07
Find all providers in BILOXI

Competitor

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City BILOXI
Zip Code 39534

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Dataset Information

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.

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