Provider Demographics
NPI:1497260624
Name:DR. SHERRI M. WEISSMAN, LLC
Entity Type:Organization
Organization Name:DR. SHERRI M. WEISSMAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-803-1115
Mailing Address - Street 1:36 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35213-3743
Mailing Address - Country:US
Mailing Address - Phone:205-803-1115
Mailing Address - Fax:205-803-1116
Practice Address - Street 1:36 CHURCH ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-3743
Practice Address - Country:US
Practice Address - Phone:205-803-1115
Practice Address - Fax:205-803-1116
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. SHERRI M. WEISSMAN, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-11
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty