Provider Demographics
NPI:1992594907
Name:DENTISTRY BY SHERRY
Entity type:Organization
Organization Name:DENTISTRY BY SHERRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:AVICZER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:347-308-6888
Mailing Address - Street 1:23 COUNTRY DR S
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-6061
Mailing Address - Country:US
Mailing Address - Phone:347-308-6888
Mailing Address - Fax:
Practice Address - Street 1:4018 BELL BLVD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2063
Practice Address - Country:US
Practice Address - Phone:347-308-6888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty