Provider Demographics
NPI:1417121526
Name:NAWABI, SHERI (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:
Last Name:NAWABI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SHAHRBANOO
Other - Middle Name:
Other - Last Name:NAWABI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:5100 WISCONSIN AVE NW
Mailing Address - Street 2:STE 240
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4119
Mailing Address - Country:US
Mailing Address - Phone:202-686-2318
Mailing Address - Fax:202-686-4059
Practice Address - Street 1:5100 WISCONSIN AVE NW
Practice Address - Street 2:STE 240
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4119
Practice Address - Country:US
Practice Address - Phone:202-686-2318
Practice Address - Fax:202-686-4059
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN51131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice