Sherman H. Deveas III, DDS P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHERMAN H. DEVEAS III, DDS P.A.

Doing business as

West Baltimore Dental Center

Practice address

3322 Frederick Ave
Baltimore, MD 21229-3810

Phone

(410) 566-2080

Fax

(410) 566-6379

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Stacey J. Weitzel

Title

Practice Manager

Phone

(410) 566-2080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Baltimore Dental Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan Selig Eidensohn, D.M.D.

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1912915216
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760528004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 FREDERICK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293810",
            "telephone_number": "410-566-2080",
            "fax_number": "410-566-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 FREDERICK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293810",
            "telephone_number": "410-566-2080",
            "fax_number": "410-566-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN H. DEVEAS III, DDS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEITZEL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-566-2080",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "877136",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Baltimore Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shebretta Sheridan, CPI
• Seyda Ahmed Sherif
• Isha Sheriff
• Michele Shermak, M.D.
• Sherman & Associates Services of Standard
• Amanda Kathleen Sherman
• Erin Sherman, PNP
• Jamie M Sherman, RD LD
• Michael Sherman, DPM, MD
• Ronald L. Sherman, DPM

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.