Healthcare Provider Details

I. General information

NPI: 1417012055
Provider Name (Legal Business Name): RICHARD L SHERWOOD DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 MAIN ST
DANVILLE VA
24541-1828
US

IV. Provider business mailing address

990 MAIN ST
DANVILLE VA
24541-1828
US

V. Phone/Fax

Practice location:
  • Phone: 434-792-4046
  • Fax: 434-792-7200
Mailing address:
  • Phone: 434-792-4046
  • Fax: 434-792-7200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401008007
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number0438000144
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: