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NPI Code Detail

MEDICARE: DR. MICHAEL LAWRENCE SHERMAN DDS

MEDICARE: DR. MICHAEL LAWRENCE SHERMAN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist045563NY
2122300000XDentist7054NV

General Provider Information

NPI Number : 1245323559
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL LAWRENCE SHERMAN DDS
Provider Business Mailing Address
First Line : 9935 FLETCHER PEAK AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-9336
Country : US
Telephone Number : 631-806-1275
Fax Number :
Provider Business Practice Location Address
First Line : 5001 E BONANZA RD STE 160
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-3560
Country : US
Telephone Number : 702-307-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 02/04/2022

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