DR. GRAHAM DOUGLAS SHEA (NPI# 1528171923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528171923 |
| Entity Type | Individual |
| Full Name | DR. GRAHAM DOUGLAS SHEA |
| Credential | D.D.S. |
| Practice Address |
21072 S Mountain Meadow Rd Beavercreek OR 97004-7699 |
| Practice Telephone | 5033181996 |
| Mailing Telephone | 5033181996 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D6699 | OR | Dental Providers |
| Street Address |
21072 S MOUNTAIN MEADOW RD |
| City | BEAVERCREEK |
| State | OR |
| Zip Code | 97004-7699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003234253 | At Your Door Dental | Dental Hygienist | 25150 S. Larkin Rd., Beavercreek, OR 97004 | 2014-04-04 |
| 1538516331 | Deanna Lea Way | Registered Nurse | 22062 S Ferguson Rd, Beavercreek, OR 97004-7625 | 2016-05-21 |
| 1962540310 | Laura Ann Shattuck | Nurse Practitioner | 21440 S Upper Highland Rd, Beavercreek, OR 97004-8814 | 2007-02-01 |
| 1376701888 | Vicki Lynn Miracle | Registered Nurse | 19824 S Butte Rd, Beavercreek, OR 97004-8847 | 2008-05-30 |
| 1003420407 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 19824 S Butte Rd, Beavercreek, OR 97004-8847 | 2020-09-02 |
| 1811200108 | Greg Glenn Gill Jr. | Counselor | 25915 S Fallsview Rd, Beavercreek, OR 97004-9638 | 2010-07-15 |
| 1033345038 | Laura Bartko | Advanced Practice Midwife | 23841 S Fellows Rd, Beavercreek, OR 97004-9726 | 2009-06-03 |
| 1902043748 | Deborah Frances | Naturopath | 25884 S Beeson Rd, Beavercreek, OR 97004-9748 | 2009-01-15 |
| 1710181425 | Karen Zondervan | Counselor | 25003 S Beeson Rd, Beavercreek, OR 97004-9783 | 2007-06-14 |
| 1619532884 | Taylor Alysa Pottratz | Student in an Organized Health Care Education/Training Program | 21410 S Levi Rd, Beavercreek, OR 97004-9792 | 2019-05-03 |
| Find all providers in zip 97004 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184276321 | Bryan Dodd Dds, Inc. | Dentist | 3223 Beaver Vu Dr, Beavercreek, OH 45434-6371 | 2019-07-09 |
| 1750871471 | Samuel Gersch | Dentist | 3286 Pentagon Blvd, Beavercreek, OH 45431-1789 | 2018-05-17 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1578783932 | Salvatore Marc Dibenedetto | Dentist | 3398 Dayton Xenia Rd, Beavercreek, OH 45432-2747 | 2007-04-26 |
| 1659433902 | Rochelle Reichley | Dentist | 1450 Hanes Rd, Beavercreek, OH 45434-6579 | 2006-12-14 |
| 1164598454 | John Edward Mitakides | Dentist | 2141 N. Fairfield Rd., Suite A, Beavercreek, OH 45431-2579 | 2006-11-28 |
| 1801969696 | Charles H Dean | Dentist | 2458 Dayton Xenia Rd, Beavercreek, OH 45434-7168 | 2006-11-17 |
| 1013089770 | Ronald L. Roddy | Dentist | 2355 Lakeview Dr, Beavercreek, OH 45431-3695 | 2006-11-15 |
| 1811076334 | Gregory E Notestine | Dentist | 2149 N Fairfield Rd, Suite D, Beavercreek, OH 45431-2559 | 2006-11-03 |
| 1538258801 | David B Uzzel | Dentist | 3567 Wendleton Ln, Beavercreek, OH 45432-2753 | 2006-10-12 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 97004 |
Please comment or provide details below to improve the information on DR. GRAHAM DOUGLAS SHEA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.