| Sherman And Hallie Dds Pa | |
|
520 5th St Nw Grand Rapids MN 55744 | |
| (218) 326-2901 | |
| (218) 327-2080 |
| Full Name | Sherman And Hallie Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 520 5th St Nw, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Charles E Sherman (DENTIST OWNER) |
| Authorized Official Contact | 2183262901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherman And Hallie Dds Pa Po Box 36 520 5th St Nw Grand Rapids MN 55744 Ph: (218) 326-2901 | Sherman And Hallie Dds Pa 520 5th St Nw Grand Rapids MN 55744 Ph: (218) 326-2901 |
| NPI Number | 1518148238 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 11/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518148238 | NPI | - | NPPES |
| 72233LE | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8269 (Minnesota) | Primary |
| 122300000X | Dentist | D11926 (Minnesota) | Secondary |
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