Provider Demographics
NPI:1902863145
Name:SHERWANI, PALWASHA N (DDS)
Entity Type:Individual
Prefix:
First Name:PALWASHA
Middle Name:N
Last Name:SHERWANI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 NE D STREET
Mailing Address - Street 2:STE C
Mailing Address - City:STIGLER
Mailing Address - State:OK
Mailing Address - Zip Code:74462
Mailing Address - Country:US
Mailing Address - Phone:918-967-3368
Mailing Address - Fax:918-967-3351
Practice Address - Street 1:1407 NE D STREET
Practice Address - Street 2:STE C
Practice Address - City:STIGLER
Practice Address - State:OK
Practice Address - Zip Code:74462
Practice Address - Country:US
Practice Address - Phone:918-967-3368
Practice Address - Fax:918-967-3351
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5838122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist