Provider Demographics
NPI:1316204696
Name:SHERGILL, ISHERPREET (MD,DDS)
Entity type:Individual
Prefix:DR
First Name:ISHERPREET
Middle Name:
Last Name:SHERGILL
Suffix:
Gender:
Credentials:MD,DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 COVE DR
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-5679
Mailing Address - Country:US
Mailing Address - Phone:312-451-9563
Mailing Address - Fax:
Practice Address - Street 1:613 W HARWOOD RD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3161
Practice Address - Country:US
Practice Address - Phone:817-268-4108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38311122300000X
TXV8027204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No122300000XDental ProvidersDentist