Sheridan Family Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHERIDAN FAMILY DENTISTRY PLLC

Practice address

2707 Sheridan Dr
Tonawanda, NY 14150-9466

Phone

(716) 848-9600

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mark Thomas Donahue, DDS

Title

Co-Owner

Phone

(716) 848-9600

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1285924639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509466",
            "telephone_number": "716-848-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509466",
            "telephone_number": "716-848-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "716-848-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487822219",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295767598",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881853588",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halie Rae Sheehan, PHARMD
• Kathryn Sheffield
• Marie A. Shephard-Wierbicki, RN
• Sarah Shepler
• Sheridan Drive Medical Group LLP
• Sheridan Manor LLC
• Lawrence M Sherman, M.D.
• Hnade Shhade
• David Shubert, RPH, PH.D.
• Amy Ludwig Shuman, PHD

• Dentist in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.