Sherman Dental Associates of Evanston, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHERMAN DENTAL ASSOCIATES OF EVANSTON, LTD

Practice address

909 Davis St
Suite 120
Evanston, IL 60201-3683

Phone

(847) 475-6300

Fax

(847) 475-6560

NPI assigned

Mar 21, 2007

Last updated

Feb 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lien Le, D.D.S.NPI 1477673044

Title

Secretary of Treasure

Phone

(847) 475-6300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lien Le, D.D.S

  • General Practice Dentistry
  • Evanston, IL
  • NPI 1477673044
  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1942326350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 DAVIS ST",
            "address_2": "SUITE 120",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013683",
            "telephone_number": "847-475-6300",
            "fax_number": "847-475-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 DAVIS ST",
            "address_2": "SUITE 120",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013683",
            "telephone_number": "847-475-6300",
            "fax_number": "847-475-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN DENTAL ASSOCIATES OF EVANSTON, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "LIEN",
        "authorized_official_title_or_position": "SECRETARY OF TREASURE",
        "authorized_official_telephone_number": "847-475-6300",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Cooley Shein, M.S.
• Jordan Shelley, DPT
• Kennedy A Shenberg, LCPC
• Stephen Christopher Shenberger, A.T.C.
• Philip H Sheridan Jr., MD
• Saira Shervani, MD
• Matthew R. Sherwood, MD
• Monica Sheth
• Daniel H. Shevrin, MD
• Maya Shewnarain, LCPC

• General Practice Dentistry in Evanston, IL
• Providers in Evanston, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.