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PHILLIP JOHN SHERIDAN
NPI 1760003644
Dentist in Peterson Afb, CO

Active since May 01, 2020
1045 E STEWART AVE BLDG 2018, PETERSON AFB, CO 80914(719) 556-1333 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2025, Aug 21, 2020 (2 updates tracked since 2020).

About Phillip John Sheridan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP JOHN SHERIDAN (NPI 1760003644) is an individual dentist in Peterson Afb, Colorado, licensed in Minnesota (D14402) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1760003644
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NamePHILLIP JOHN SHERIDAN
Location Address1045 E STEWART AVE BLDG 2018Peterson Afb, CO 80914-2900
Mailing Address559 Vincent St. Space Base Delta 1Peterson Space Force Base, CO 80914
Phone(719) 556-1333
Sole ProprietorNo
Enumeration DateMay 1, 2020
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1760003644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D14402
Definition
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.
1045 E STEWART AVE BLDG 2018, Peterson Afb, CO 80914
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Sheridan's NPI number?

The NPI number for Phillip Sheridan is 1760003644. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Phillip Sheridan located?

Phillip Sheridan practices at 1045 E Stewart Ave Bldg 2018, Peterson Afb, CO 80914. The listed phone number is (719) 556-1333.

What is Phillip Sheridan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Phillip Sheridan was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.