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