Organization Name: | JOHN W. SHEWOOD, DMD, PC |
NPI Number: | 1225251929 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN W. SHERWOOD (CEO) |
Mailing Address: | 185 Delaware Ave Ste B Palmerton |
State: | PA US |
Postal Code: | 180711716 |
Phone Number: | 6108263656 |
Fax Number: | 6108267110 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 025733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |