Provider Demographics
NPI:1780795864
Name:SHERWOOD DENTAL CARE PC
Entity type:Organization
Organization Name:SHERWOOD DENTAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:FRANCOIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-625-3767
Mailing Address - Street 1:15962 SW TUALATIN SHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-8690
Mailing Address - Country:US
Mailing Address - Phone:503-625-3767
Mailing Address - Fax:503-625-6956
Practice Address - Street 1:15962 SW TUALATIN SHERWOOD RD
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:OR
Practice Address - Zip Code:97140-8690
Practice Address - Country:US
Practice Address - Phone:503-625-3767
Practice Address - Fax:503-625-6956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD70891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty