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NPI Code Detail

MEDICARE: SHERROD L. QUIN D.D.S.

MEDICARE: SHERROD L. QUIN 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
1122300000XDentistP114LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063597094
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHERROD L. QUIN D.D.S.
Provider Business Mailing Address
First Line : 1100 FLORIDA AVE
Second Line : BOX 137
City : NEW ORLEANS
State : LA
Zip : 70119-2714
Country : US
Telephone Number : 504-941-8471
Fax Number : 504-941-8389
Provider Business Practice Location Address
First Line : 1100 FLORIDA AVE
Second Line : BOX 137
City : NEW ORLEANS
State : LA
Zip : 70119-2714
Country : US
Telephone Number : 504-941-8471
Fax Number : 504-941-8389
Authorized Official
Title or Position : FACULTY
Name : DR. SHERROD L. QUIN
Credential : D.D.S.
Telephone Number : 504-941-8471
Provider Enumeration Date : 10/26/2006
Last Update Date : 10/10/2014

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