DR. KEVIN MICHAEL SHERIDAN


Address: 29 Black Coal Dr, Fort Washakie, WY 82514-0128
Phone: 3073327300

DR. KEVIN MICHAEL SHERIDAN (NPI# 1861558223) 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) 1861558223
Entity Type Individual
Full Name DR. KEVIN MICHAEL SHERIDAN
Credential DDS
Practice Address 29 Black Coal Dr
Fort Washakie
WY 82514-0128
Mailing Address 29 Black Coal Dr
Fort Washakie
WY 82514
Practice Telephone 3073327300
Mailing Telephone 3073327300
Enumeration Date 2006-12-29
Last Update Date 2011-11-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
2901017315 MI Dental Providers

Other Providers KEVIN SHERIDAN

NPI Name Taxonomy Address Enumeration
1407014426 Kevin M Sheridan Surgery 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2008-05-27
1326134214 Kevin J Sheridan Internal Medicine 200 University Ave E, Saint Paul, MN 55101-2507 2006-10-05

Office Location

Street Address 29 BLACK COAL DR
City FORT WASHAKIE
State WY
Zip Code 82514-0128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417029950 Garth Ernest Reber Family Medicine 29 Black Coal Dr, Fort Washakie, WY 82514-0128 2006-11-13
1477936961 Lindsey Gauderer Nurse Practitioner 29 Black Coal Dr, Fort Washakie, WY 82514 2015-07-02
1770917700 Misty R Lafranier Clinic/Center 29 Black Coal Dr, Fort Washakie, WY 82514-1112 2013-08-27
1235429606 Rosie L Hughes Registered Nurse 29 Black Coal Dr, Fort Washakie, WY 82514-0128 2011-04-19
1871899781 Sally J Youngbear Registered Nurse 29 Black Coal Dr, Fort Washakie, WY 82514-0128 2011-02-10
1770806093 Dawn Rae Gardner Registered Nurse 29 Black Coal Dr, Fort Washakie, WY 82514-0000 2010-03-02
1528206414 Andrew Foster Huff Dentist 29 Black Coal Dr, Fort Washakie, WY 82514 2009-01-30
1700040854 Kim E Clemetson Registered Nurse 29 Black Coal Dr, Fort Washakie, WY 82514 2008-07-17
1326206616 Wind River Service Unit Ihs Clinic/Center 29 Black Coal Dr, Fort Washakie, WY 82514-0000 2008-05-23
1265577134 Raymond Adams Family Medicine 29 Black Coal Dr, Fort Washakie, WY 82514-0128 2007-02-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619527819 Melissa Rose Pine Registered Nurse 29 Blackcole Road, Fort Washakie, WY 82514 2019-09-19
1982116794 Madonna Lee Kienlen Peer Specialist 215 Ethete Road, Ft. Washakie, WY 82514 2017-11-02
1649789025 Rebecca Charlene Willis Technician, Other Fort Washakie Healt Center Lab Ihs 29 Black Coal Drive, Fort Washakie, WY 82514 2017-09-28
1033553185 Pauline Elizabeth Powers-peprah Family Medicine 29 Black Cole, Fort Washakie, WY 82514 2013-04-19
1528319373 Amanda L Schultz Licensed Practical Nurse 110 Sharpnose Road, Fort Washakie, WY 82514 2012-09-19
1770898140 Kelly Lynne Pretty Weasel Clinic/Center 29 Blackcole Dr, Fort Washakie, WY 82514 2010-08-10
1285950170 Debra Kay Waters Technician, Pathology Black Coal Rd. Bldg. 29, Ft. Washakie, WY 82514 2010-04-16
1881919751 Shoshone & Arapaho Tribal Substance Abuse Court Clinic/Center 215 Ethete Rd, Fort Washakie, WY 82514 2010-04-02
1770814253 Christopher G Nelson Spec/Tech, Pathology 29 Black Coal Rd, Ft. Washakie, WY 82514 2010-01-22
1922339449 Nina Williams Spec/Tech, Pathology Black Coal Rd Bldg 29, Ft Washakie, WY 82514 2010-01-22
Find all providers in zip 82514

Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710208079 Nicole C Gore Dentist 5 Beartooth Dr, Sheridan, WY 82801-9004 2010-06-21
1194357574 Steven M. Harmon Dds, PC Dentist 1151 Gateway Blvd Ste 102, Rock Springs, WY 82901-6771 2020-02-04
1043724610 Barak Troy Jones Dentist 3090 Talon Dr, Casper, WY 82604-3279 2017-11-18
1508992603 Kathleen Meehan Murphy Dentist 925 W Birch St, Glenrock, WY 82637 2007-02-26

Competitor

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City FORT WASHAKIE
Zip Code 82514

Improve Information

Please comment or provide details below to improve the information on DR. KEVIN MICHAEL SHERIDAN.

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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