Shelhouse Comprehensive Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHELHOUSE COMPREHENSIVE DENTAL LLC

Practice address

5335 Far Hills Ave Ste 210
Dayton, OH 45429-2317

Phone

(937) 439-0275

Fax

(937) 439-0276

NPI assigned

Mar 5, 2013

Organization subpart

No

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

Authorized official

Name

Pam A Brown

Title

Office Manager

Phone

(937) 439-0275

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dayton Dental Solutions Doing business as

Locations

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1316288103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 FAR HILLS AVE STE 210",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292317",
            "telephone_number": "937-439-0275",
            "fax_number": "937-439-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 FAR HILLS AVE STE 210",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292317",
            "telephone_number": "937-439-0275",
            "fax_number": "937-439-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELHOUSE COMPREHENSIVE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-439-0275"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFICE",
            "identifier": "1234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayton Dental Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imran Sheikh, DO
• Zakaria Hassan Sheikhaden, D.O
• Shekinah Family Services LLC
• Sharita Shelby, LPN
• Machensey Shelgren
• Shelhouse Dental Group LLC
• Robert Gregory Shelhouse, DDS
• Angela R Sheline
• Jacob Michael Shelley, CDCA/CPRS
• Jamesia Sharmane Shelley, LPN

• General Practice Dentistry in Dayton, OH
• Providers in Dayton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.