Provider Demographics
NPI:1447498027
Name:SHEFFIELD, STEPHEN PAUL (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:PAUL
Last Name:SHEFFIELD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 CITATION DR
Mailing Address - Street 2:
Mailing Address - City:FABIUS
Mailing Address - State:NY
Mailing Address - Zip Code:13063-9730
Mailing Address - Country:US
Mailing Address - Phone:607-743-7572
Mailing Address - Fax:
Practice Address - Street 1:2509 US ROUTE 11
Practice Address - Street 2:MAHER BLDG.,
Practice Address - City:LA FAYETTE
Practice Address - State:NY
Practice Address - Zip Code:13084
Practice Address - Country:US
Practice Address - Phone:315-677-3113
Practice Address - Fax:315-677-3114
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY54466122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist