Healthcare Provider Details

I. General information

NPI: 1275289316
Provider Name (Legal Business Name): SARAH SHERMAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2022
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W 57TH ST STE 808
NEW YORK NY
10019-3217
US

IV. Provider business mailing address

200 W 57TH ST STE 808
NEW YORK NY
10019-3217
US

V. Phone/Fax

Practice location:
  • Phone: 212-737-6112
  • Fax:
Mailing address:
  • Phone: 212-737-6112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number063630
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: