Provider Demographics
NPI:1437299047
Name:SHERMAN, NANNETTE REYNOLDS (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANNETTE
Middle Name:REYNOLDS
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NANNETTE
Other - Middle Name:MICHELLE
Other - Last Name:REYNOLDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7908 CINCINNATI DAYTON RD
Mailing Address - Street 2:SUITE R
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6602
Mailing Address - Country:US
Mailing Address - Phone:513-755-7220
Mailing Address - Fax:513-755-7221
Practice Address - Street 1:7908 CINCINNATI DAYTON RD
Practice Address - Street 2:SUITE R
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6602
Practice Address - Country:US
Practice Address - Phone:513-755-7220
Practice Address - Fax:513-755-7221
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH196351223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0901171Medicaid