Provider Demographics
NPI:1811993835
Name:SHERMAN, EDWARD M (DDS)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:M
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7031 108TH ST
Mailing Address - Street 2:STE 5
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4450
Mailing Address - Country:US
Mailing Address - Phone:718-268-1302
Mailing Address - Fax:718-268-3603
Practice Address - Street 1:7031 108TH ST
Practice Address - Street 2:STE 5
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4450
Practice Address - Country:US
Practice Address - Phone:718-268-1302
Practice Address - Fax:718-268-3603
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0246541223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics