Provider Demographics
NPI:1427611144
Name:S & S DENTAL GROUP
Entity type:Organization
Organization Name:S & S DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:OMER
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:207-985-7944
Mailing Address - Street 1:2 LIVEWELL DR APT 105
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-6763
Mailing Address - Country:US
Mailing Address - Phone:207-985-7944
Mailing Address - Fax:207-985-8718
Practice Address - Street 1:2 LIVEWELL DR APT 105
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-6763
Practice Address - Country:US
Practice Address - Phone:207-985-7944
Practice Address - Fax:207-985-8718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty