Basic Information
| Provider Information | |||||||||
| NPI: | 1417208562 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHEIKH | ||||||||
| FirstName: | EMMAD | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 403 MICHAEL DR | ||||||||
| Address2: | |||||||||
| City: | MURPHY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750943761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4433861842 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3360 W FM 544 STE 930 | ||||||||
| Address2: | |||||||||
| City: | WYLIE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750989429 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729150484 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2012 | ||||||||
| LastUpdateDate: | 05/03/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 22DI02518300 | NJ | N | Dental Providers | Dentist | 122300000X | DS039309 | PA | N | Dental Providers | Dentist | 122300000X | 32787 | TX | Y | Dental Providers | Dentist |
No ID Information.