MEDICARE: DR. SHERRI ANN SCOTT D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN27876	FL

General Provider Information

NPI Number	:	1073635785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERRI ANN SCOTT D.D.S.

Provider Business Mailing Address
First Line	:	38001 34TH CT S
Second Line	:
City	:	AUBURN
State	:	WA
Zip	:	98001-8762
Country	:	US
Telephone Number	:	253-671-9966
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 US HIGHWAY 98 N UNIT 105
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33809-3863
Country	:	US
Telephone Number	:	863-225-4585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	05/08/2024

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