Provider Demographics
NPI:1871959544
Name:MAY, SHEILA MARIE (RDH)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:MARIE
Last Name:MAY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25670 FOUNTAIN PARK DR W
Mailing Address - Street 2:#285
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2566
Mailing Address - Country:US
Mailing Address - Phone:313-213-9511
Mailing Address - Fax:
Practice Address - Street 1:25670 FOUNTAIN PARK DR W
Practice Address - Street 2:#285
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2566
Practice Address - Country:US
Practice Address - Phone:313-213-9511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2902012183124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist