Provider Demographics
NPI:1538554407
Name:SENGEWALT, SHAYNA MICHELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:SHAYNA
Middle Name:MICHELLE
Last Name:SENGEWALT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:SHAYNA
Other - Middle Name:MICHELLE
Other - Last Name:ADAMOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:13065 E 17TH AVE # L26-201D
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2532
Mailing Address - Country:US
Mailing Address - Phone:720-900-6023
Mailing Address - Fax:303-797-0450
Practice Address - Street 1:13065 E 17TH AVE FL 1
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2532
Practice Address - Country:US
Practice Address - Phone:303-724-5505
Practice Address - Fax:303-724-5456
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS040960122300000X
CO202835122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist