Organization · Type 2 NPI
Mark T. Sherman DDS PA
Dental Clinic/Center · Pequot Lakes, MN
NPI number
1770195158
Active
Practice location
31011 Rasmussen Rd
Pequot Lakes, MN 56472-1227
Mailing address
PO Box 128
Pequot Lakes, MN 56472-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1770195158
Mark T. Sherman DDS PA's National Provider Identifier is 1770195158, issued on Aug 18, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pequot Lakes, MN. The record was last updated on Aug 18, 2020.