MEDICARE: DR. SHERYL A POMERANCE DDS

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
1	122300000X	Dentist	2901012548	MI

General Provider Information

NPI Number	:	1780777805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERYL A POMERANCE DDS

Provider Business Mailing Address
First Line	:	154 S INDUSTRIAL DR
Second Line	:
City	:	SALINE
State	:	MI
Zip	:	48176-9493
Country	:	US
Telephone Number	:	734-429-7460
Fax Number	:	734-429-5752

Provider Business Practice Location Address
First Line	:	154 S INDUSTRIAL DR
Second Line	:
City	:	SALINE
State	:	MI
Zip	:	48176-9493
Country	:	US
Telephone Number	:	734-429-7460
Fax Number	:	734-429-5752

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/06/2024

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