Provider Demographics
NPI:1871384933
Name:SHERIN JOHN DDS PLLC
Entity type:Organization
Organization Name:SHERIN JOHN DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-679-2057
Mailing Address - Street 1:37639 KINGSBURN DR
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-4070
Mailing Address - Country:US
Mailing Address - Phone:248-679-2057
Mailing Address - Fax:
Practice Address - Street 1:600 W 11 MILE RD
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-3027
Practice Address - Country:US
Practice Address - Phone:248-679-2057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty