Provider Demographics
NPI:1649439944
Name:DENNIS H SHERMAN DMD PC
Entity type:Organization
Organization Name:DENNIS H SHERMAN DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:HAL
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-698-8883
Mailing Address - Street 1:4 FRANKLIN ST
Mailing Address - Street 2:SUITE 14
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-5522
Mailing Address - Country:US
Mailing Address - Phone:617-698-8883
Mailing Address - Fax:617-698-8884
Practice Address - Street 1:4 FRANKLIN ST
Practice Address - Street 2:SUITE 14
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-5522
Practice Address - Country:US
Practice Address - Phone:617-698-8883
Practice Address - Fax:617-698-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA154931223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty