Provider Demographics
NPI:1427839893
Name:SHEFFIELD AND LE ORTHODONTICS
Entity type:Organization
Organization Name:SHEFFIELD AND LE ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHEFFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-518-0092
Mailing Address - Street 1:3428 HILLCREST AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-6344
Mailing Address - Country:US
Mailing Address - Phone:925-757-9100
Mailing Address - Fax:925-754-3951
Practice Address - Street 1:3428 HILLCREST AVE STE 100
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-6344
Practice Address - Country:US
Practice Address - Phone:925-757-9100
Practice Address - Fax:925-754-3951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty