Provider Demographics
NPI:1962814681
Name:SHERPA, JENNY CHRISTINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNY
Middle Name:CHRISTINE
Last Name:SHERPA
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 1:9 FENWYCK CIR
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-5750
Mailing Address - Country:US
Mailing Address - Phone:646-256-8840
Mailing Address - Fax:
Practice Address - Street 1:3801 GERMANTOWN PIKE STE 107
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-4019
Practice Address - Country:US
Practice Address - Phone:610-489-6363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-29
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS107198122300000X
PADS040915332B00000X
PA040915122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies