| Stephen M Sherwood Dds Pllc | |
|
6500 N Mopac Bldg 2 Suite 2206 Austin TX 78731 | |
| (512) 454-6936 | |
| (512) 454-0437 |
| Full Name | Stephen M Sherwood Dds Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6500 N Mopac, Austin, Texas |
| Authorized Official Name and Position | Stephen Marshall Sherwood (OWNER) |
| Authorized Official Contact | 5124546936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Sherwood Dds Pllc 6500 N Mopac Bldg 2 Suite 2206 Austin TX 78731 Ph: (512) 454-6936 | Stephen M Sherwood Dds Pllc 6500 N Mopac Bldg 2 Suite 2206 Austin TX 78731 Ph: (512) 454-6936 |
| NPI Number | 1477627206 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477627206 | NPI | - | NPPES |
| 009433601 | Medicaid | TX | |
| B722 | Other | TX | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 18860 (Texas) | Primary |
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