Provider Demographics
NPI:1679691794
Name:SHEEN, GEOFFREY W (DDS MS)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:W
Last Name:SHEEN
Suffix:
Gender:M
Credentials:DDS MS
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Other - Credentials:
Mailing Address - Street 1:3643 WALTON WAY EXT
Mailing Address - Street 2:BLDG 5
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909
Mailing Address - Country:US
Mailing Address - Phone:706-738-3401
Mailing Address - Fax:706-736-4710
Practice Address - Street 1:3643 WALTON WAY EXT
Practice Address - Street 2:BLDG 5
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909
Practice Address - Country:US
Practice Address - Phone:706-738-3401
Practice Address - Fax:706-736-4710
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAGADL00118191223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics