Provider Demographics
NPI:1740057876
Name:SHERLIN PHILIPOSE LLC
Entity type:Organization
Organization Name:SHERLIN PHILIPOSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST - OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIPOSE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-841-1134
Mailing Address - Street 1:808 DEKALB PIKE
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-1906
Mailing Address - Country:US
Mailing Address - Phone:813-841-1134
Mailing Address - Fax:
Practice Address - Street 1:808 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-1906
Practice Address - Country:US
Practice Address - Phone:813-841-1134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental