Provider Demographics
NPI:1922620871
Name:SHERMAN, ALEX EMILY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:EMILY
Last Name:SHERMAN
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 1:375 S JACKSON ST APT 717
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3449
Mailing Address - Country:US
Mailing Address - Phone:513-465-6741
Mailing Address - Fax:
Practice Address - Street 1:5168 S BROADWAY
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-6706
Practice Address - Country:US
Practice Address - Phone:720-673-9371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00205001122300000X, 1223P0221X
OH30.0261281223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist