MEDICARE: DR. ISHERPREET SHERGILL MD,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
1	122300000X	Dentist	38311	TX
2	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	V8027	TX

General Provider Information

NPI Number	:	1316204696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISHERPREET SHERGILL MD,DDS

Provider Business Mailing Address
First Line	:	344 COVE DR
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-5679
Country	:	US
Telephone Number	:	312-451-9563
Fax Number	:

Provider Business Practice Location Address
First Line	:	613 W HARWOOD RD
Second Line	:
City	:	HURST
State	:	TX
Zip	:	76054-3161
Country	:	US
Telephone Number	:	817-268-4108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	04/22/2025

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