Healthcare Provider Details

I. General information

NPI: 1073635785
Provider Name (Legal Business Name): SHERRI ANN SCOTT D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 05/08/2024
Certification Date: 05/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 US HIGHWAY 98 N UNIT 105
LAKELAND FL
33809-3863
US

IV. Provider business mailing address

38001 34TH CT S
AUBURN WA
98001-8762
US

V. Phone/Fax

Practice location:
  • Phone: 863-225-4585
  • Fax:
Mailing address:
  • Phone: 253-671-9966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN27876
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: