Provider Demographics
NPI:1003039769
Name:GARCIA, SHERYL ANNELLE (DDS)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:ANNELLE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PERRYTON
Mailing Address - State:TX
Mailing Address - Zip Code:79070-3152
Mailing Address - Country:US
Mailing Address - Phone:806-435-9619
Mailing Address - Fax:806-435-9929
Practice Address - Street 1:514 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PERRYTON
Practice Address - State:TX
Practice Address - Zip Code:79070-3152
Practice Address - Country:US
Practice Address - Phone:806-435-9619
Practice Address - Fax:806-435-9929
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX158151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice