# RICHARD C. SHERON DMD PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053409961
- **Authorized official:** DR. ADAM SHERON DMD (OWNER)
- **Authorized official phone:** (360) 573-8181

## Contact information

- **Practice address:** 1200 NE 99TH STREET, VANCOUVER, WA 98665
- **Practice address phone:** (360) 573-8181
- **Practice address fax:** (360) 573-8186
- **Mailing address:** 1200 NE 99TH STREET, VANCOUVER, WA 98665
- **Mailing address phone:** (360) 573-8181
- **Mailing address fax:** (360) 573-8186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 07/01/2008