Provider Demographics
NPI:1992782981
Name:SHEFF, MICHAEL C (DMD, MSCD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:C
Last Name:SHEFF
Suffix:
Gender:
Credentials:DMD, MSCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1726
Mailing Address - Country:US
Mailing Address - Phone:617-332-2900
Mailing Address - Fax:617-332-2901
Practice Address - Street 1:221 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1726
Practice Address - Country:US
Practice Address - Phone:617-332-2900
Practice Address - Fax:617-332-2901
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-29
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA104571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA00099OtherDELTA DENTAL
MAX10127OtherBC/BS
MA9707263Medicaid