Provider Demographics
NPI:1780717710
Name:RADIN, SHERYL (DDS)
Entity type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:
Last Name:RADIN
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 1:88 BOBBIE DR
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-1600
Mailing Address - Country:US
Mailing Address - Phone:215-990-6153
Mailing Address - Fax:215-990-6114
Practice Address - Street 1:808 FLORAL VALE BLVD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5513
Practice Address - Country:US
Practice Address - Phone:215-860-9808
Practice Address - Fax:215-860-6114
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022839L1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry