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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
2901017315 | MI | Dental Providers |
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 |
Street Address |
29 BLACK COAL DR |
City | FORT WASHAKIE |
State | WY |
Zip Code | 82514-0128 |
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 |
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 Code | 1223D0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dental Public Health |
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 |
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 |
City | FORT WASHAKIE |
Zip Code | 82514 |
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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.