Provider Demographics
NPI:1447312194
Name:SHEIKH, SHEHZAD (DMD, MS)
Entity type:Individual
Prefix:
First Name:SHEHZAD
Middle Name:
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46400 BENEDICT DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-6604
Mailing Address - Country:US
Mailing Address - Phone:703-430-6432
Mailing Address - Fax:
Practice Address - Street 1:46400 BENEDICT DR
Practice Address - Street 2:SUITE 205
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-6604
Practice Address - Country:US
Practice Address - Phone:703-430-6432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014114731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice