Provider Demographics
NPI:1245238757
Name:SHERMAN, RICHARD DOUGLAS (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DOUGLAS
Last Name:SHERMAN
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 1:33 N HIGH ST
Mailing Address - Street 2:SUITE 777
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3076
Mailing Address - Country:US
Mailing Address - Phone:614-221-2910
Mailing Address - Fax:614-224-2992
Practice Address - Street 1:33 N HIGH ST
Practice Address - Street 2:SUITE 777
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3076
Practice Address - Country:US
Practice Address - Phone:614-221-2910
Practice Address - Fax:614-224-2992
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist