Kile B Sherry, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS039743 Issued in PA

Practice address

41 W Broad St
Tamaqua, PA 18252-1900

Phone

(570) 668-6200

NPI assigned

Aug 27, 2013

Last updated

Aug 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indiju 7 Dental LLC

  dba Sherry Dental Tamaqua

  • Dental Clinic/Center
  • Tamaqua, PA
  • NPI 1366196982
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1336573211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 W BROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182521900",
            "telephone_number": "570-668-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 W BROAD ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182521900",
            "telephone_number": "570-668-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRY",
        "first_name": "KILE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039743",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shafers Pharmacy LLC (Shafers Pharmacy)
• Muhammad Shahbaz, MD
• Daryoush Shahin, MD
• Joseph Edward Shamonsky, RN
• Shen Smiles
• Abdul-Aziz Adewale Shittou, MD
• Christine Marie Siegrist, PT
• Darlene Smith
• Kerri Lynn Smith, DPT
• Smnrc, LP (Hometown Nursing and Rehabilitation Center)

• Dentist in Tamaqua, PA
• Providers in Tamaqua, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.