Provider Demographics
NPI:1245456318
Name:DARAMY, SHERIFF B SR (DDS)
Entity type:Individual
Prefix:DR
First Name:SHERIFF
Middle Name:B
Last Name:DARAMY
Suffix:SR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:SHERIFF
Other - Middle Name:B
Other - Last Name:DARAMY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:9500 ANNAPOLIS RD
Mailing Address - Street 2:SUITE C6
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2060
Mailing Address - Country:US
Mailing Address - Phone:301-459-0914
Mailing Address - Fax:301-459-2712
Practice Address - Street 1:7450 ALBERT RD FL 1
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-3035
Practice Address - Country:US
Practice Address - Phone:301-836-9645
Practice Address - Fax:301-597-9034
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD64801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD983484200Medicaid