Provider Demographics
NPI:1093124117
Name:SHERINGO, JOSEPH FRED
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRED
Last Name:SHERINGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7581 HIGHWAY 321
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:TX
Mailing Address - Zip Code:77535-3889
Mailing Address - Country:US
Mailing Address - Phone:936-258-2476
Mailing Address - Fax:
Practice Address - Street 1:7581 HIGHWAY 321
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TX
Practice Address - Zip Code:77535-3889
Practice Address - Country:US
Practice Address - Phone:936-258-2476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13404122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist