DR. NELSON J SHERBURNE DDS
NPI 1902019177
Dentist - General Practice in Walled Lake, MI

Active since May 07, 2007
1052 E WEST MAPLE RD, WALLED LAKE, MI 48390(248) 624-5533(248) 624-6757 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Nelson J Sherburne Dds NPPES

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

DR. NELSON J SHERBURNE DDS (NPI 1902019177) is an individual general practice provider in Walled Lake, Michigan, licensed in Michigan (2901008511) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1902019177
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NELSON J SHERBURNECredential: DDS
Location Address1052 E WEST MAPLE RDWalled Lake, MI 48390-3571
Mailing Address1052 E West Maple RdWalled Lake, MI 48390-3571 · (248) 624-5533 · Fax (248) 624-6757
Fax(248) 624-6757
Sole ProprietorYes
Enumeration DateMay 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1902019177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901008511
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.

1052 E WEST MAPLE RD, Walled Lake, MI 48390

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1052 E WEST MAPLE RD
WALLED LAKE, MI 48390
Dentist
1052 E WEST MAPLE RD
WALLED LAKE, MI 48390

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902019177, enumerated as an "individual" on May 07, 2007.

The provider is located at 1052 E WEST MAPLE RD WALLED LAKE, MI 48390 and the phone number is (248) 624-5533.

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