Organization
SHERMAN AND HALLIE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E SHERMAN DR (DENTIST OWNER)
(218) 326-2901
Entity
Organization
Contact information
Practice address
520 5TH ST NW, GRAND RAPIDS, MN 55744
(218) 326-2901
(218) 327-2080
Mailing address
PO BOX 36, 520 5TH ST NW, GRAND RAPIDS, MN 55744
(218) 326-2901
(218) 327-2080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8269
MN
122300000X
Dentist
D11926
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72233LE
BCBS
MN
Enumeration date
11/21/2007
Last updated
11/21/2007
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