Active NPI
Beth Ann Sheridan, D.D.S., M.S.
- Endodontics
- Savannah, GA
National Provider Identifier
1609095553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN011147
- Practice address
- 340 Eisenhower Dr Ste 600
Savannah, GA 31406-1616 - Phone
- (912) 354-5559
- Fax
- (912) 354-5559
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN011147 | GA | Primary |
Addresses
Primary practice location
340 Eisenhower Dr Ste 600
Savannah, GA 31406-1616
Mailing address
340 Eisenhower Dr Ste 600
Savannah, GA 31406-1616
Phone (912) 354-5559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN011147 | GA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609095553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 EISENHOWER DR STE 600",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314061616",
"telephone_number": "912-354-5559",
"fax_number": "912-354-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 EISENHOWER DR STE 600",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314061616",
"telephone_number": "912-354-5559",
"fax_number": "912-354-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERIDAN",
"first_name": "BETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "GA",
"license": "DN011147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.