PHILLIP JOHN SHERIDAN
NPI 1760003644
Dentist in Peterson Afb, CO

NPI Status: Active since May 01, 2020

Contact Information

1045 E STEWART AVE BLDG 2018
PETERSON AFB, CO
ZIP 80914
Phone: (719) 556-1333

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  • Individual
  • Male
  • Dentist

About PHILLIP SHERIDAN

This page provides the complete NPI Profile along with additional information for Phillip Sheridan, a provider established in Peterson Afb, Colorado with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1760003644 assigned on May 2020. The practitioner's primary taxonomy code is 122300000X with license number D14402 (MN). The provider is registered as an individual and his NPI record was last updated August 2025.

NPI
1760003644
Provider Name
PHILLIP JOHN SHERIDAN
Gender
Male
Entity Type
Individual
Location Address
1045 E STEWART AVE BLDG 2018 PETERSON AFB, CO 80914
Location Phone
(719) 556-1333
Mailing Address
1045 E STEWART AVE BLDG 2018 PETERSON AFB, CO 80914
Mailing Phone
(719) 556-1333
Is Sole Proprietor?
No
Enumeration Date
05-01-2020
Last Update Date
08-25-2025
Code Navigator

A dentist like Phillip Sheridan is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
D14402
License State
MN
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760003644
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2712000668
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 0 + 0 + 6 + 6 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1760003644 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760003644, enumerated in the NPI registry as an "individual" on May 01, 2020

The provider is located at 1045 E Stewart Ave Bldg 2018 Peterson Afb, Co 80914 and the phone number is (719) 556-1333

The provider's speciality is Dentist with taxonomy code 122300000X

This NPI record was last updated on May 01, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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