Provider Demographics
NPI:1831134295
Name:MENSER, SHERMAN JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHERMAN
Middle Name:JOHN
Last Name:MENSER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 GUY DR
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-3133
Mailing Address - Country:US
Mailing Address - Phone:405-737-3441
Mailing Address - Fax:405-737-5445
Practice Address - Street 1:2809 SHADYBROOK DR
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-3121
Practice Address - Country:US
Practice Address - Phone:405-737-3441
Practice Address - Fax:405-737-5445
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK51831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice