Willie B. Sherman Jr. D.D.S. P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

DN6455 Issued in FL

Legal business name

WILLIE B. SHERMAN JR. D.D.S. P.A.

Practice address

3599 Columbia St
Orlando, FL 32805-3419

Phone

(407) 295-0674

Fax

(407) 295-9693

NPI assigned

Oct 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Willie B Sherman Jr., D.D.S.

Title

Owner

Phone

(407) 295-0674

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1982956447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053419",
            "telephone_number": "407-295-0674",
            "fax_number": "407-295-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053419",
            "telephone_number": "407-295-0674",
            "fax_number": "407-295-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIE B. SHERMAN JR. D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-295-0674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN6455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073719401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Richard Williamson, MD
• Sarah Williamson
• Stephen Eric Williamson, M.D.
• Tiana Williamson
• Wallace Cory Williamson, DPM
• Michelle M Williiamson
• Terri Willims, CPM, LM
• Harold Willingham Jr.
• Patrick Willingham, CRNA
• Bernard Willis

• Dentist in Orlando, FL
• Providers in Orlando, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.