MARK T. SHERMAN DDS PA
NPI 1770195158
Clinic/Center - Dental in Pequot Lakes, MN

Active since August 18, 2020
31011 RASMUSSEN RD, PEQUOT LAKES, MN 56472(218) 568-8295 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark T. Sherman Dds Pa NPPES

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

MARK T. SHERMAN DDS PA (NPI 1770195158), doing business as Pequot Lakes Dental Center, is a healthcare organization registered as a dental in Pequot Lakes, Minnesota and active in the NPI registry since August 2020. The organization lists Mark T Sherman, Owner, as its authorized official.

NPPES Registry Identity

NPI1770195158
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMARK T. SHERMAN DDS PA
Location Address31011 RASMUSSEN RDPequot Lakes, MN 56472-1227
Mailing AddressPo Box 128Pequot Lakes, MN 56472-0128 · (218) 568-8295 · Fax (218) 568-4702
Organization SubpartNo
Authorized OfficialMark T ShermanOwner · (218) 568-8295
Enumeration DateAugust 18, 2020
NPPES CertifiedAugust 18, 2020
NPI 1770195158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
31011 RASMUSSEN RD, Pequot Lakes, MN 56472

Other Names 1

Former Legal Business NamePequot Lakes Dental Center

Other Identifiers 1

OtherD11015MN · Board License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark T. Sherman Dds PA's NPI number?

The NPI number for Mark T. Sherman Dds PA is 1770195158. It was assigned to this organization in the NPPES registry on August 18, 2020. The provider was formerly known as Pequot Lakes Dental Center.

Where is Mark T. Sherman Dds PA located?

Mark T. Sherman Dds PA is located at 31011 Rasmussen Rd, Pequot Lakes, MN 56472. The listed phone number is (218) 568-8295.

What is Mark T. Sherman Dds PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mark T. Sherman Dds PA was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.