Organization Active NPI

Sheehy Dental LLC

  • Dentist
  • Seffner, FL
National Provider Identifier
1174072888
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 20388 Issued in FL
Legal business name
SHEEHY DENTAL LLC
Practice address
810 W Dr Martin Luther King Jr Blvd
Ste 2900
Seffner, FL 33584-4583
Phone
(813) 330-2006
Fax
(813) 438-4928
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Omari Sheehy, DDSNPI 1649606948
Title
Ceo/President
Phone
(813) 330-2006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN 20388 FL Primary

Addresses

Primary practice location

810 W Dr Martin Luther King Jr Blvd
Ste 2900
Seffner, FL 33584-4583

Mailing address

810 W Dr Martin Luther King Jr Blvd
Ste 2900
Seffner, FL 33584-4583
Phone (813) 330-2006

Other names 1

  • Bayshore Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1174072888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "STE 2900",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844583",
            "telephone_number": "813-330-2006",
            "fax_number": "813-438-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "STE 2900",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844583",
            "telephone_number": "813-330-2006",
            "fax_number": "813-438-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEHY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "SHEEHY",
        "authorized_official_first_name": "OMARI",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "813-330-2006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 20388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seffner, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.