Provider Demographics
NPI:1033317326
Name:SOLEYMANI, SHERRY (DMD)
Entity type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:
Last Name:SOLEYMANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 NECTAR PL
Mailing Address - Street 2:
Mailing Address - City:NAHANT
Mailing Address - State:MA
Mailing Address - Zip Code:01908-1577
Mailing Address - Country:US
Mailing Address - Phone:781-284-1177
Mailing Address - Fax:781-286-1176
Practice Address - Street 1:500 PARK AVE
Practice Address - Street 2:
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-3324
Practice Address - Country:US
Practice Address - Phone:781-284-1177
Practice Address - Fax:781-286-1176
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21864122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist