Provider Demographics
NPI:1023013232
Name:MARVEL, SHERRY K (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:K
Last Name:MARVEL
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 1:1335 BENTLEY CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-9438
Mailing Address - Country:US
Mailing Address - Phone:817-657-9357
Mailing Address - Fax:
Practice Address - Street 1:821 N FIELDER RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4657
Practice Address - Country:US
Practice Address - Phone:817-303-5700
Practice Address - Fax:817-548-7099
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19421122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist