JACK HENRY SHERWOOD
NPI 1316785892
Dentist - General Practice in Fort Eisenhower, GA

Active since July 18, 2024
BLDG 25501 BRAINARD AVENUE, FORT EISENHOWER, GA 30905(706) 787-7050 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2025, Sep 18, 2024, Jul 18, 2024 (3 updates tracked since 2024).

About Jack Henry Sherwood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK HENRY SHERWOOD (NPI 1316785892) is an individual general practice provider in Fort Eisenhower, Georgia, licensed in Utah (14035618-9926) and active in the NPI registry since July 2024.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1316785892
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACK HENRY SHERWOOD
Location AddressBLDG 25501 BRAINARD AVENUEFort Eisenhower, GA 30905
Mailing AddressBldg 25501 Brainard AvenueFort Eisenhower, GA 30905 · (706) 787-7050
Sole ProprietorNo
Enumeration DateJuly 18, 2024
Last NPPES UpdateJune 4, 20253 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
NPI 1316785892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 14035618-9926
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

BLDG 25501 BRAINARD AVENUE, Fort Eisenhower, GA 30905

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316785892, enumerated as an "individual" on July 18, 2024.

The provider is located at BLDG 25501 BRAINARD AVENUE FORT EISENHOWER, GA 30905 and the phone number is (706) 787-7050.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.