Robert David Sheridan, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN16850 Issued in FL

Practice address

17020 County Line Rd
Suite 102
Spring Hill, FL 34610-7009

Phone

(352) 593-4997

Fax

(352) 593-5805

NPI assigned

Apr 17, 2007

Last updated

Dec 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1821214149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 COUNTY LINE RD",
            "address_2": "SUITE 102",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346107009",
            "telephone_number": "352-593-4997",
            "fax_number": "352-593-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 COUNTY LINE RD",
            "address_2": "SUITE 102",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346107009",
            "telephone_number": "352-593-4997",
            "fax_number": "352-593-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN16850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moamal Kamal Osman Sharfi, DMD
• Arielle Elizabeth Shashaty, AU.D.
• Lucinda Shaw, CNM MSN
• Shekira Kamali Shaw, SLP
• Maryam Yaqoob Sheikh, MD
• Alan Bruce Sherman, DO
• Marie Sherman, LCSW
• Philip C Sherman, DMD
• Myamaria Shields, MSW
• Shoe Comfort Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.