Dr. David Randall Sherberg, DMD
Dentist in South Pasadena, FL. Individual provider (NPI-1).
NPI number1760618052
StatusActive
Last updated in NPPESDec 13, 2012
Details
- NPI
- 1760618052
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Randall Sherberg
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2009
- Last updated
- Dec 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN20026 | FL | Yes |
| 122300000X | Dentist | 010031 | CT |
Practice location
6882 Gulfport Blvd SSouth Pasadena, FL 33707-2108
Phone 727-384-9655
Mailing address
2 Lincoln Ave SSt Petersburg, FL 33711-5121
Phone 860-919-0586
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