Provider Demographics
NPI:1497344832
Name:DENTAL ARTS OF DOWNINGTOWN
Entity Type:Organization
Organization Name:DENTAL ARTS OF DOWNINGTOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER/PRIMARY OWNER/DENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:SHERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-269-3978
Mailing Address - Street 1:104 SCHUBERT DR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3382
Mailing Address - Country:US
Mailing Address - Phone:610-269-3978
Mailing Address - Fax:610-269-9670
Practice Address - Street 1:104 SCHUBERT DR
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3382
Practice Address - Country:US
Practice Address - Phone:610-269-3978
Practice Address - Fax:610-269-9670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty