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General NPI Number Information
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NPI Number | 1417012055
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Entity Type | Individual
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Provider Name | RICHARD L SHERWOOD DDS
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Gender | Male
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 990 MAIN ST
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City | DANVILLE
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State | VA
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Zip | 24541-1828
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Country | US
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Telephone | 434-792-4046
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Fax | 434-792-7200
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Provider Business Mailing Address
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Address Line | 990 MAIN ST
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City | DANVILLE
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State | VA
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Zip | 24541-1828
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Country | US
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Telephone | 434-792-4046
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Fax | 434-792-7200
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401008007
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 0438000144
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License Number State | VA
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