Organization
STEPHEN M SHERWOOD DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MARSHALL SHERWOOD (OWNER)
(512) 454-6936
Entity
Organization
Contact information
Practice address
6500 N MOPAC, BLDG 2 SUITE 2206, AUSTIN, TX 78731
(512) 454-6936
(512) 454-0437
Mailing address
6500 N MOPAC, BLDG 2 SUITE 2206, AUSTIN, TX 78731
(512) 454-6936
(512) 454-0437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009433601
—
TX
01
—
B722
BC/BS
TX
Enumeration date
11/20/2006
Last updated
06/23/2008
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