Healthcare Provider Details

I. General information

NPI: 1841979820
Provider Name (Legal Business Name): HUGH MCKINNON SHERRILL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT LIBERTY NC
28310-0001
US

IV. Provider business mailing address

2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
APO AA
28310-0001
US

V. Phone/Fax

Practice location:
  • Phone: 270-412-8564
  • Fax:
Mailing address:
  • Phone: 910-907-8922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number13438808-9921
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number13438808-9921
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number13438808-8903
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number14549
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: