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NPI 1992814149

NPI 1992814149 : SCOTT RONALD SHERRIN DDS : LONG ISLAND CITY, NY

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General NPI Number Information
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    NPI Number           |    1992814149
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    Entity Type          |    Individual 
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    Provider Name        |    SCOTT RONALD SHERRIN DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/30/2006
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    Last Update Date     |    12/07/2025
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Provider Practice Location Address
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    Address Line         |    3180 38TH ST 
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    City                 |    LONG ISLAND CITY
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    State                |    NY
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    Zip                  |    11103-3945
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    Country              |    US
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    Telephone            |    718-721-5577
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    Fax                  |    718-721-6333
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Provider Business Mailing Address
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    Address Line         |    3180 38TH ST SCOTT R SHERRIN DDS
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    City                 |    LONG ISLAND CITY
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    State                |    NY
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    Zip                  |    11103
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    Country              |    US
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    Telephone            |    718-721-5577
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    Fax                  |    718-721-6333
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    030260
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    License Number State |    NY
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