Provider Demographics
NPI:1568541563
Name:SHERRY, STEVEN D (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:SHERRY
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5824 W PLANO PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4697
Mailing Address - Country:US
Mailing Address - Phone:972-267-3223
Mailing Address - Fax:972-733-0567
Practice Address - Street 1:5824 W PLANO PKWY STE 101
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4697
Practice Address - Country:US
Practice Address - Phone:972-267-3223
Practice Address - Fax:972-733-0567
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM63941223S0112X
TX220761223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery