Provider Demographics
NPI:1386703650
Name:PANEM, SHERWIN ABEJAR (DDS)
Entity type:Individual
Prefix:DR
First Name:SHERWIN
Middle Name:ABEJAR
Last Name:PANEM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:SHERWIN
Other - Middle Name:A
Other - Last Name:PANEM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:9645 DUCKWEED ST.
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747
Mailing Address - Country:US
Mailing Address - Phone:916-726-4176
Mailing Address - Fax:
Practice Address - Street 1:5247 ELKHORN BLVD
Practice Address - Street 2:STE. C
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95842-2509
Practice Address - Country:US
Practice Address - Phone:916-344-2554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52907122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist