Provider Demographics
NPI:1174498745
Name:SHER DENTAL OF FORT LAUDERDALE PA
Entity type:Organization
Organization Name:SHER DENTAL OF FORT LAUDERDALE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-333-5291
Mailing Address - Street 1:4719 N OCEAN DR UNIT 7
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE BY THE SEA
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2914
Mailing Address - Country:US
Mailing Address - Phone:954-488-3636
Mailing Address - Fax:
Practice Address - Street 1:4719 N OCEAN DR UNIT 7
Practice Address - Street 2:
Practice Address - City:LAUDERDALE BY THE SEA
Practice Address - State:FL
Practice Address - Zip Code:33308-2914
Practice Address - Country:US
Practice Address - Phone:954-488-3636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHER DENTAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-06
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty