Healthcare Provider Details

I. General information

NPI: 1023037744
Provider Name (Legal Business Name): SHERRY SLONE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERRY DIANE SLONE DMD

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 MORTON BLVD
HAZARD KY
41701-9469
US

IV. Provider business mailing address

1760 BIG BRANCH RD
HINDMAN KY
41822-8716
US

V. Phone/Fax

Practice location:
  • Phone: 606-439-1559
  • Fax: 606-439-1422
Mailing address:
  • Phone: 606-497-5432
  • Fax: 606-439-1422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7177
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number7177
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: