Provider Demographics
NPI:1144323932
Name:BERYL R SHERMAN DDS ASSOCIATES
Entity type:Organization
Organization Name:BERYL R SHERMAN DDS ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BERYL
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-392-6092
Mailing Address - Street 1:1211 VALLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2506
Mailing Address - Country:US
Mailing Address - Phone:717-392-6092
Mailing Address - Fax:713-392-0385
Practice Address - Street 1:17 ZIMMERMAN RD
Practice Address - Street 2:
Practice Address - City:LEOLA
Practice Address - State:PA
Practice Address - Zip Code:17540-1949
Practice Address - Country:US
Practice Address - Phone:717-656-3206
Practice Address - Fax:717-392-0385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS013078L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty