Provider Demographics
NPI:1023037744
Name:SLONE, SHERRY (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:
Last Name:SLONE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SHERRY
Other - Middle Name:DIANE
Other - Last Name:SLONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1760 BIG BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:HINDMAN
Mailing Address - State:KY
Mailing Address - Zip Code:41822-8716
Mailing Address - Country:US
Mailing Address - Phone:606-497-5432
Mailing Address - Fax:606-439-1422
Practice Address - Street 1:750 MORTON BLVD
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-9469
Practice Address - Country:US
Practice Address - Phone:606-439-1559
Practice Address - Fax:606-439-1422
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY71771223G0001X, 1223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY60071776Medicaid