Individual
KEITH H. SHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14573
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000161
TUFTS HEALTH PLAN
MA
01
—
0032050
NEIGHBORHOOD HEALTH PLAN
MA
01
—
14573
DELTA DENTAL
MA
01
—
8916540
CIGNA
MA
01
—
AA8115
HARVARD PILGRIM
MA
01
—
X08855
BLUE CROSS DENTAL
MA
01
—
X08885
BLUE CROSS
MA
Enumeration date
02/13/2006
Last updated
01/26/2009
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